Delftia acidovorans Isolated from the Drainage in an Immunocompetent Patient with Empyema.
10.4046/trd.2009.67.3.239
- Author:
Jaeyoung CHUN
1
;
Jaechun LEE
;
Jaeseok BAE
;
Miyeon KIM
;
Jae Geun LEE
;
Sang Yop SHIN
;
Young Ree KIM
;
Keun Hwa LEE
Author Information
1. Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Delftia acidovorans;
Pleural empyema;
Immunocompetence
- MeSH:
Catheters;
Catheters, Indwelling;
Delftia;
Delftia acidovorans;
Drainage;
Empyema;
Empyema, Pleural;
Humans;
Immunocompetence;
Immunocompromised Host;
Lung;
Middle Aged;
Pleural Effusion;
Respiratory System;
RNA, Ribosomal, 16S;
Soil;
Suppuration;
Thorax
- From:Tuberculosis and Respiratory Diseases
2009;67(3):239-243
- CountryRepublic of Korea
- Language:English
-
Abstract:
Delftia acidovorans is a gram-negative motile rod found ubiquitously in soil and in water. Confirmed isolation from clinical infections is rare, and has been documented mostly in immunocompromised patients or those with indwelling catheters. A 53-year-old man was referred for the evaluation of a huge mass-like lesion found incidentally by chest X-ray. The lesion occupied more than half of the right lung and was diagnosed as a large loculated pleural effusion by CT scan. Bloody pus was drained through a percutaneous catheter, and D. acidovorans, identified by the Vitek GN card and confirmed by amplification of 16S ribosomal RNA and sequencing analysis, was isolated repeatedly from the drained pus. The patient was treated with imipenem/cilastatin to which the organism was sensitive. This is a rare report of chronic empyema associated with D. acidovorans in the respiratory system of an immunocompetent patient.
