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KMID : 1035620190070010061
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Allergy Asthma & Respiratory Disease
2019 Volume.7 No. 1 p.61 ~ p.64
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Iatrogenic pleural empyema caused by Propionibacterium acnes
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Jwa Hye-Young
Lee Jae-Chun
Seong Gil-Myeong
Kim Chang-Hwan
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Abstract
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Propionibacterium acnes is one of the commensals living on the human skin and glands, implicated mainly in acnes, but seldom in deep infection. Pleural empyema is rarely complicated with closed thoracostomy. We experienced 1 case of empyema caused by P. acnes after pleural biopsy and closed thoracostomy through a percutaneous pigtail catheter. A 79-year-old man was admitted for cough, purulent sputum and shortness of breath. Three weeks ago, closed thoracostomy and pleural biopsy were performed to confirm a diagnosis for his recurrent pleural effusion. He had increased amount of right pleural effusion. Through the pigtail catheter, pleural effusion was removed. Gram-positive rods were observed in Gram stain, but not cultured. By 16S rRNA analysis, P. acnes was confirmed as the pathogen. His empyema was repeatedly treated with antibiotics, fibrolysis and irrigation. Pleural decortication was recommended. We report the first case of empyema with P. acnes in Korea, possibly complicated with closed thoracostomy procedures.
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KEYWORD
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Pleural empyema, Thoracotomy, Propionibacterium acnes, Pleural effusion
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