抄録
Alcaligenes xylosoxidans is a glucose-nonfermentative gram-negative rod which usually exisits in the environment. This organism while causing pneumonia, sepsis, meningitis and urinary tract infection in the compromized host, rarely causes thoracic empyema. We report a case of thoracic empyema and subcutaneous abscess due to A. xylosoxidans.
A 74-year-old male, who had undergone right total pneumonectomy for chronic necrotizing pulmonary aspergillosis a year ago, was admitted to our hospital because of fever. CT scans of the chest revealed a subcutaneous abscess and empyema. Empyema and subcutaneous pus were aspirated. Culture of materials produced A. xylosoxidans. There was no significant change onsymptoms and examinations depsite therapy with PIPC 4 g/day and thoracic drainage. Finally, surgical treatment was required and the patient was cured.
