ISSN: 1859 - 2872
Successful treatment of acute empyema caused by Aeromonas sobria in an advanced liver cirrhosis patient: A case report
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Bacterial empyema is a rare complication of liver cirrhosis (LC) patients. The treatment of patients was challenge and associated with poor outcome. Case report: In this article, we reported for the first time a 55-year-old patient with decompensated LC due to alcohol abuse who was diagnosed with acute empyema. Bacterial culture of pleural fluid indicated Aeromonas sobria (A. sobria) as a causative pathogen. The patient also performed severe coagulation disorder with INR 2.56; platelet counts 24G/L. The patient was successfully managed by board-spectrum antibiotics and drainage of the pleural with pigtail catheter. He was followed for a year without relapsing. Conclusion: We reported the first case of severely acute empyema caused by A. sobria in a patient with decompensated LC and successful treatment with appropriate antibiotics in combination with pigtail drainage in our clinical setting.
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