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Case Reports
. 2021 Dec 15:35:101567.
doi: 10.1016/j.rmcr.2021.101567. eCollection 2022.

A challenging case of thoracic empyema caused by Prevotella spp

Rémi Diesler  1 , Lize Kiakouama-Maleka  1
Affiliations
Case Reports

A challenging case of thoracic empyema caused by Prevotella spp

Rémi Diesler et al. Respir Med Case Rep. .

Abstract

We report here the case of a 49-year-old man admitted for a diagnostic work-up of bilateral lung nodules. Empyema rapidly developed after a chest computed-tomodensitometry guided lung puncture. Despite the lack of obvious aetiology after two biopsies, the diagnosis was reached by performing 16S ribosomal DNA (rDNA) sequence analysis, which identified Prevotella spp in the pleural liquid. The empyema and lung nodules resolved after appropriate antibiotic therapy.

Keywords: 16S ribosomal DNA; Lung nodules; Prevotella; Thoracic empyema.

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Conflict of interest statement

Rémi Diesler has received financing for congress including travel and hotel fees from Laidet Medical and Vitalaire.

Figures

Fig. 1
Fig. 1
Patient's chest computed-tomodensitometry (CT), axial cuts. A-C shows bilateral centimetric peripheral nodules, some of which are excavated. D right pleural effusion with pleural hyperenhancement and bullae consistent with pleural empyema diagnosis.
See this image and copyright information in PMC

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