Empyema associated with Actinomyces georgiae successfully treated with multimodal therapy including surgical intervention: A first case report

Empyema associated with Actinomyces georgiae successfully treated with multimodal therapy including surgical intervention: A first case report

A 77-year-old man presented with right-sided chest pain and dyspnea. Computed tomography revealed a loculated pleural effusion, and thoracentesis yielded purulent fluid. Actinomyces georgiae was identified using pleural fluid culture. Despite treatment with ampicillin-sulbactam and thoracic drainage...

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Main Authors: Senichi Fukuda, Yuya Homma, Hiroki Kawakami, Soichiro Yamaji, Yuki Sato, Nao Sato, Reina Idemitsu, Taiki Kawai, Naoki Inoshima, Jun Hayashi, Norihiko Kubota, Tatsuya Nagai, Ayumu Otsuki, Hiroyuki Ito, Hiroshi Sugimura, Kei Nakashima
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Actinomycosis
Empyema
Actinomyces georgiae
Video-assisted thoracoscopic surgery
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007125000905
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Summary:A 77-year-old man presented with right-sided chest pain and dyspnea. Computed tomography revealed a loculated pleural effusion, and thoracentesis yielded purulent fluid. Actinomyces georgiae was identified using pleural fluid culture. Despite treatment with ampicillin-sulbactam and thoracic drainage, the patient's condition worsened, requiring video-assisted thoracoscopic surgery. The patient recovered completely after completing an 11-month course of antibiotics. This is the first reported case of empyema associated with A. georgiae. Actinomyces should be considered as a potential cause of empyema, and a comprehensive approach, including surgical intervention, is necessary for optimal management.
ISSN:2213-0071

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