A pediatric case of fever of unknown origin and pericarditis associated with actinomyces pneumonia
We describe a rare case of Actinomyces meyeri pneumonia in a pediatric patient. Our patient was admitted twice for recurrent pericarditis in the setting of persistent fevers, initially thought to be secondary to Coxsackie B virus. She was treated with colchicine and ibuprofen, as well as a short cou...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9263522/ https://www.ncbi.nlm.nih.gov/pubmed/35815110 http://dx.doi.org/10.1016/j.idcr.2022.e01561 |
Sumario: | We describe a rare case of Actinomyces meyeri pneumonia in a pediatric patient. Our patient was admitted twice for recurrent pericarditis in the setting of persistent fevers, initially thought to be secondary to Coxsackie B virus. She was treated with colchicine and ibuprofen, as well as a short course of oral steroids. Patient was admitted a third time for acute respiratory failure and was found to have a large right empyema and pleural effusion requiring chest tube placement. After extensive multi-specialty workup, A. meyeri was isolated from chest tube culture. Patient’s intravenous (IV) antibiotics were subsequently narrowed to ampicillin, and she was discharged. |
---|