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Enterococcus faecalis-associated lung abscess in a male adolescent- a case report

dc.contributor.authorMendes, Ana Raquel
dc.contributor.authorCosta, António
dc.contributor.authorFerreira, Helena
dc.contributor.authorFerreira, Cristina
dc.date.accessioned2021-11-09T15:25:54Z
dc.date.available2021-11-09T15:25:54Z
dc.date.issued2020-03-02
dc.description.abstractBackground: Enterococci are rarely considered pulmonary pathogens; they are usually regarded as colonizers of the airway. The authors present the case of a previously healthy male adolescent, with complaints of fatigue and chest pain, who was diagnosed with Enterococcus faecalis-associated acute primary lung abscess. Case presentation: A previously healthy 17-year old boy was admitted to the pediatric ward due to a one-week history of fatigue, inspiratory left side chest pain, dry cough and nasal obstruction. On admission at the emergency department, he was afebrile, with no signs of respiratory distress, but with diminished breath sounds on the left side. A chest x-ray showed a round opacity on the posterior basal segment of the left lower lobe; he was discharged with oral amoxicillin 1000 mg three times a day with the diagnosis of community-acquired pneumonia. Due to the worsening of the productive cough with purulent stinking sputum he was re-evaluated after 4 days. Laboratory studies showed a leukocyte count of 15200/uL and a c-reactive protein of 172 mg/l. The chest computed tomography scan was suggestive of a consolidation of the left lower lobe base and a central abscess. An intravenous course of ceftriaxone and clindamycin was initiated, with a favourable clinical evolution. The bronchofibroscopy performed on day four after his admission revealed the presence of a tracheal bronchus and numerous purulent secretions. Culture examination of bronchoalveolar lavage fluid samples was positive (> 10^5) for Enterococcus faecalis. No complications were registered during his stay in the pediatric ward. He was discharged after a 14-day course of intravenous ceftriaxone and clindamycin, with the recommendation to complete a four-week course of oral amoxicillin/clavulanic acid. On his reevaluation 4 weeks after his discharge, he was asymptomatic. Conclusion: This case report highlights the importance of considering Enterococcus faecalis as an etiologic agent in cases of non-resolving or complicated cases of pneumonia, such as lung abscesses, even in young patients with no comorbidities or risk factors.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMendes AR, Costa A, Ferreira H, Ferreira C. Enterococcus faecalis-associated lung abscess in a male adolescent- a case report. BMC Pediatr. 2020;20(1):98. Published 2020 Mar 2. doi:10.1186/s12887-020-2003-8pt_PT
dc.identifier.doi10.1186/s12887-020-2003-8pt_PT
dc.identifier.issn1471-2431
dc.identifier.urihttp://hdl.handle.net/10400.16/2532
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Centralpt_PT
dc.relation.publisherversionhttps://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-020-2003-8pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAdolescentpt_PT
dc.subjectEnterococcus faecalispt_PT
dc.subjectLung abscesspt_PT
dc.titleEnterococcus faecalis-associated lung abscess in a male adolescent- a case reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEnglandpt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage98pt_PT
oaire.citation.titleBMC Pediatricspt_PT
oaire.citation.volume20pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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