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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
A Case of Arcanobacterium haemolyticum Infection Detected in Pleural Fluid |
| Language |
J |
| AuthorList |
Shigeki Murahashi1), Keiko Oogami1), Yoshihiro Yamada1), Hiroyuki Seki3), Yusuke Tezuka1), Etsuko Asonuma2), Tetsuo Hamada1) |
| Affiliation |
1) Department of Laboratory Medicine, Kyushu Rosai Hospital
2) Department of Respiratory Internal Medicine, Kyushu Rosai Hospital
3) Department of Laboratory Medicine, University of Occupational and Envirorimental Health, Japan Hospital |
| Publication |
J.J.C.M.: 18 (1), 20-24, 2008 |
| Received |
February 6, 2007 |
| Accepted |
November 26, 2007 |
| Abstract |
We present a case with pleural effusion, from which Arcanobacterium haemolyticum was isolated. The case is a 45-year-old man, who had repeatedly suffered from pneumonia during treatment at another hospital for the aftereffects of a cerebral hemorrhage since February 2005. He had been administered with meropenem (MEPM) 10 days before he was hospitalized in our hospital for suspected pneumonia with a fever of around 39°C. The fever showed a tendency to decrease as a result of the MEPM therapy; however, his respiratory condition exacerbated and he was hospitalized in our Department of Respiratory Medicine in October 2005. A thoracic CT taken on admission showed pleural effusion. Thus, drainage and cleaning of the left thoracic cavity was undertaken, and an antibacterial drug was administered. Gram positive bacillus was observed in the pleural effusion by Gram stain and identified as A. haemolyticum. The inflammation gradually decreased as a result of the treatment. With A. haemolyticum no longer detected in the pleural effusion, though the left pleural thickening remained, the patient was discharged in December 2005. We believe this patient is the first reported case in Japan of empyema caused by A. haemolyticum. |
| Keywords |
Arcanobacterium haemolyticum |
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