Page 50 - ECBIP 2021_Program
P. 50

6th European Congress ECBIP 15 - 17
  Book of Abstracts
for Bronchology and
Interventional Pulmonology ATHENS - GREECE 2021
OCTOBER
 MODERATED e-POSTER SESSION 02:
Diseases of the pleura
        A CASE OF PULMONARY ABSCESS AND PLEURAL EMPYEMA CAUSED BY EGGERTHIA CATENAFORMIS FOLLOWING A DENTAL BRIDGE ASPIRATION
Elena Koushiappi1, Tonia Adamide1, Frangiskos Frangopoulos1, Ilias Porfyridis1,2
1 Pulmonary Department, Nicosia General Hopsital, Nicosia, Cyprus
2 EIMC Clinic, Nicosia, Cyprus
     PP15
    Eggerthia catenaformis is a Gram-positive, anaerobic, rod-shaped bacterium, typically found in the gastrointestinal microbiota. It has rarely been reported to cause severe infections and sepsis, from haematogenous spread secondary to odontogenic abscesses.We report the first clinical case of an Eggerthia catenaformis-related infection caused by direct inoculation of the infectious pathogen. A 34-year-old man with a past medical history of bronchial asthma, presented with a seven-day history of fever, dyspnoea and productive cough.The chest x-ray revealed a right-sided abscess, bilateral pulmonary infiltrates and a right-sided pleural effusion. A Computed Tomography (CT) scan of the thorax demonstrated, in addition to the above, a loculated right-sided pleural effusion and a hyperdense material in the left main bronchus suggestive of a foreign body aspiration.The patient eventually required admission to the Intensive Care Unit (ICU) due to respiratory failure and septic shock. A diagnostic thoracocentesis was consistent with empyema. Culture of the pleural fluid isolated Eggerthia catenaformis, while a sputum culture yielded Methicillin-sensitive Staphylococcus Aureus (MSSA). Flexible bronchoscopy demonstrated a foreign object, later identified as a dental bridge, in the left main bronchus that was successfully removed with grasping forceps. The patient was managed with drainage of the empyema and appropriate antibiotic therapy for a total of six weeks. The outcome was favourable with complete resolution of the radiological findings at follow-up.
50 6th European Congress for Bronchology and Interventional Pulmonology
  




















































































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