PDF(Pubmed)
Abstract：
Bacteroides pyogenes is naturally found in the oral microbiome of cats and dogs and hence exposure, especially bites from these animals, is a major risk factor for human infections. B pyogenes is known to cause infections that persist despite antibiotic treatment and can have serious clinical outcomes. We present a novel case of complex lung abscesses associated with B pyogenes infection. A 55 year old man presents with a 3-month history of productive cough, night sweats, and 5 kg weight loss. An initial chest radiograph revealed mass-like opacities in the right upper lobe (RUL), right middle lobe (RML), and left lower lobe (LLL). Over the next 4 years the patient underwent multiple investigations and antimicrobial treatments until resolution of the abscesses. We believe that metronidazole in combination with moxifloxacin was a key component in the clinical cure of this patient.
摘要：
化脓性拟杆菌自然存在于猫和狗的口腔微生物组中，因此暴露于体内。尤其是这些动物的叮咬，是人类感染的主要危险因素。已知化脓性B会导致感染，尽管使用抗生素治疗，这种感染仍然存在，并且可能具有严重的临床结果。我们介绍了一例与化脓性B感染相关的复杂肺脓肿的新病例。一名55岁的男子有3个月的咳嗽病史，盗汗,和5公斤的减肥。最初的胸部X光片显示右上叶（RUL）有肿块样混浊，右中叶（RML），和左下叶(LLL)。在接下来的4年中，患者经历了多次调查和抗菌治疗，直到脓肿消退。我们认为甲硝唑联合莫西沙星是该患者临床治愈的关键成分。
