Pulmonary abscess caused by Slackia exigua:a case report and literature review
10.16718/j.1009-7708.2025.05.008
- VernacularTitle:小斯莱克菌感染致肺脓肿1例并文献复习
- Author:
Yupei XIANG
1
;
Bing FAN
;
Jinling LI
;
Xiaohong LI
;
Jianhong WANG
Author Information
1. 重庆市九龙坡区科学城人民医院医院感染管理科,重庆 401329;重庆市九龙坡区科学城人民医院检验科,重庆 401329
- Publication Type:Journal Article
- Keywords:
Slackia exigua;
infection;
pulmonary abscess
- From:
Chinese Journal of Infection and Chemotherapy
2025;25(5):530-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the clinical characteristics of Slackia exigua infections for improving the diagnosis and treatment.Methods We reviewed the clinical characteristics of a case of pulmonary abscess caused by Slackia exigua.The infection cases caused by Slackia exigua were searched and retrieved from PubMed,CNKI,and Wanfang databases,for the articles published during the period from January 1,2011 to December 31,2023.Results Among the 15 cases of Slackia exigua infection,84.6%(11/13)had underlying diseases.Hypertension was the most common underlying disease,reported in 54.5%(6/11)of patients.Fever was present in 73.3%(11/15)of patients.Oral diseases and abscess caused by Slackia exigua were found in 63.6%(7/11)and 60.0%(9/15)of patients,respectively.Mixed infection was identified in 33.3%(5/15)of patients.The bacterium was susceptible to penicillin,ampicillin-sulbactam,ceftriaxone,levofloxacin and clindamycin,but mostly(2/3)resistant to metronidazole.Conclusions Slackia exigua infection often originates from oral aspiration and can cause abscess.Beta-lactam antibiotics are preferred for treatment of Slackia exigua infections.More data are required to confirm whether metronidazole is effective.