Purulent Hydroaeric Pleural Effusion Due to Infection with <i>Gemella morbillorum</i>: A Case Report

作     者：Hind Serhane Hafsa Sajiai Anas Arrad Selma Ait Batahar Lamyae Amro Abdelhaq Alaoui-Yazidi 

作者机构：Department of Respiratory Medicine Laboratory PCIM Faculty of Medicine and Pharmacy Cadi Ayyad University Marrakesh Morocco 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2014年第3卷第11期

页      面：583-586页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Gemella morbillorum Gemella Species Respiratory Infection Hydroaeric Pleural Effusion 

摘      要：Gemella morbillorum (G. morbillorum) is an opportunistic bacterium, which can sometimes cause severe infections especially in immunocompromised subjects. Respiratory infections due to this germ are rare, but are described. We reported a new observation of 34-year-old female patient, admitted for unusual location and clinical presentation of respiratory infection with G. morbillorum;she was presented a left pleuritic pain, a productive cough associated with purulent and foul sputum and dyspnea with onset one month earlier. The clinical examination was objectified a polypnea at 32 cycles/minutes, intercostal indrawing and mixed pleural effusion syndrome. She had also many dental caries and bad oral health status. Chest radiography showed an air-fluid image in the left chest and the thoracocentesis had revealed purulent fluid. The culture of this fluid had isolated a G. morbillorum. The diagnosis of mixed pleural effusion due to G. morbillorum in an immunosuppressed diabetic patient was made. The patient was put on antibiotics, thoracic drainage and Chest physiotherapy with good improvement.