啮蚀艾肯菌引起脓胸1例及文献复习

Empyema caused by Eikenella corrodens: one case review and literature review

摘要:

啮蚀艾肯菌是一种人类黏膜表面的定植菌, 常分布在口腔、上呼吸道等部位, 通常不致病。当人体免疫力低下时, 啮蚀艾肯菌可能引起感染。文献报道该菌多以颈部脓肿、肝脓肿、腹腔感染等为主, 胸腔、肺部感染罕见。本文通过报告啮蚀艾肯菌感染导致脓胸, 予以内科胸腔镜、外科胸腔镜治疗及全身抗感染治疗好转的病例, 旨在提高临床对啮蚀艾肯菌引起脓胸的认识, 做到早诊早治。

Abstract:

Eikenella corrodens(E. corrodens) is a kind of bacteria colonized on the surface of human mucosa, which often distributs in the oral cavity and upper respiratory tract, and seldom causes disease. When the immunity of human body is low, E. corrodens may cause infection. It was reported in the literatures that E. corrodens usually causes cervical abscess, liver abscess and abdominal cavity infection, while thoracic and pulmonary infections are rare. This article reports that a case of empyema due to infection of E. corrodens was improved after treated with medical thoracoscopy, surgical thoracoscopy and systemic anti-infection, so as to improve the clinical understanding of empyema caused by E. corrodens, achieve early diagnosis and treatment.