Severe pneumonia with pulmonary abscess and empyema caused by Tropheryma whipplei:one case report
10.12138/j.issn.1671-9638.20252030
- VernacularTitle:惠普尔养障体致重症肺炎并肺脓肿及脓胸1例
- Author:
Ruibin CHI
1
;
Xiaohong LI
1
;
Yongyi XIE
1
;
Zhiyuan XU
1
Author Information
1. 中山市东升医院重症医学科,广东 中山 528415
- Publication Type:Journal Article
- Keywords:
Tropheryma whipplei;
severe pneumonia;
pulmonary abscess;
empyema
- From:
Chinese Journal of Infection Control
2025;24(8):1147-1149
- CountryChina
- Language:Chinese
-
Abstract:
Here reports a rare case of severe pneumonia with pulmonary abscess and empyema caused by Trophe-ryma whipplei(TW)infection.TW infection was confirmed by clinical manifestations as well as polymerase chain reaction(PCR)of bronchoalveolar lavage fluid(BALF)and pleural effusion.After treatment with meropenem(fo-llowed by sequential ceftriaxone)combined with compound sulfamethoxazole,the patient improved and was dis-charged from hospital.Combined with literature review,this study explores the clinical manifestations,laboratory examinations,and treatment scheme of TW infection,aiming to improve the awareness and vigilance of clinicians on TW infection,conduct targeted anti-infection therapy as early as possible,and reduce the mortality of patients.
