10 April 2024>: Articles
A Rare Cause of Empyema and Bacteremia Due to Species in Alcoholic Cirrhosis Patients: A Case Report and Comprehensive Review of Literature
Unusual clinical course
Bohui Qian B , Kazuhiro Ishikawa A* , Tomoaki Nakamura C , Katsuhito Kinoshita C , Tetsuhiro Masaki C , Takahiro Matsuo A , Fujimi Kawai A , Nobuyoshi Mori DDOI: 10.12659/AJCR.941952
Am J Case Rep 2024; 25:e941952
Figure 2. Clinical course of disease in our patient. Shewanella species was detected in both pleural effusion and blood cultures on the day of admission. We inserted a chest tube, and initiated piperacillin/tazobactam and vancomycin empirically and switched to ceftriaxone. As a result, the effusion was successfully treated. However, on hospitalization day 53, the patient died of aspiration pneumonia. WBC – white blood cell; CRP – C-reactive protein; VCM – vancomycin; P/T – piperacillin/tazobactam; CTRX – ceftriaxone; MEPM – meropenem; MINO – minocycline; S. algae – Shewanella algae.