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Pulmonary and thoracic infection by Fusobacterium nucleatum.
- Source :
-
Andes pediatrica : revista Chilena de pediatria [Andes Pediatr] 2021 Feb; Vol. 92 (1), pp. 93-98. Date of Electronic Publication: 2021 Feb 22. - Publication Year :
- 2021
-
Abstract
- Introduction: Fusobacterium nucleatum is an anaerobic bacillus that is part of the oral microbiota and dental pla que. This can cause local and potentially remote infections, which are exceptional in pediatrics. Ob jective: To present the case of a patient with lung injury with chest wall invasion by Fusobacterium nucleatum.<br />Clinical Case: An 11-year-old female immunocompetent patient who consulted due to a two-week history of cough, night sweats, without fever or weight loss, and increased volume at the left spleen thoracic level. There was no history of chest wall trauma or travel outside the country. Two weeks before the onset of symptoms, she was treated for dental caries. Imaging studies and CT scan showed left spleen pneumonia, which invades the pleura and the chest wall. A minimal thoracotomy was performed, releasing a thick, foul-smelling liquid. The studies for common germs and tubercu losis were negative. Hematology ruled out tumor lesions. The anaerobic study reported the develo pment of Fusobacterium nucleatum. The patient was treated with penicillin followed by amoxicillin presenting good clinical and radiological responses. The dental procedure was suspected as the cause of infection.<br />Conclusions: Fusobacterium nucleatum can occasionally cause remote or extra-oral in fections in immunocompetent patients, such as pneumonia with chest wall invasion, therefore it is necessary to bear it in mind.
- Subjects :
- Amoxicillin therapeutic use
Anti-Bacterial Agents therapeutic use
Child
Dental Caries complications
Dental Caries therapy
Female
Humans
Penicillins therapeutic use
Pneumonia, Bacterial diagnostic imaging
Pneumonia, Bacterial drug therapy
Pneumonia, Bacterial surgery
Thoracic Wall microbiology
Thoracotomy
Fusobacterium Infections diagnostic imaging
Fusobacterium Infections drug therapy
Fusobacterium Infections surgery
Fusobacterium nucleatum isolation & purification
Pneumonia, Bacterial microbiology
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2452-6053
- Volume :
- 92
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Andes pediatrica : revista Chilena de pediatria
- Publication Type :
- Academic Journal
- Accession number :
- 34106188
- Full Text :
- https://doi.org/10.32641/andespediatr.v92i1.1744