title: [A case of bacterial empyema caused by Gemella morbillorum].
abstract: A 44-year-old female with diabetic ketoacidosis was admitted due to right back pain and dyspnea. A chest roentgenogram showed accumulation of fluid in the right pleural space. A drain was inserted into the right thoracic cavity and pleural fluid yielded a putrid odor. Gemella morbillorum was diagnosed based on culture of the fluid. She was treated with clinidamycin and panipenem/betamipron intravenously and insertion of a drainage tube. The in vitro activity of CLDM and PAPM/BP against G. morbillorum were less than 0.025 micrograms/ml and 0.05 micrograms/ml, respectively. She was cured and discharged after 28 days of hospitalization, the portal of entry was thought to be connected with dental caries.
authors.affiliation: Department of Respiratory Disease, Kasugai Municipal Hospital, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hayashi
authors.forename: G
authors.initials: G
authors.lastname: Ito
mesh_terms: D000328:Adult; D016724:Empyema, Pleural / Q000382:microbiology*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology*; D006095:Gram-Positive Cocci; D006801:Humans