title: Eikenella corrodens and Porphyromonas asaccharolytica pleural empyema in a diabetic patient with obstructive sleep apnea syndrome on noninvasive ventilation.
abstract: Eikenella corrodens is a normal inhabitant of the human oral cavity and gastrointestinal and genitourinary tracts. Pleuropulmonary infections by this microorganism are uncommon. Pulmonary aspiration is a chief predisposing condition. Although the outcome is usually favorable, its distinctive antibiotic sensitivity pattern makes bacterial identification an important feature in dealing with this infection. The authors report a case of pleural empyema caused by co-infection with Eikenella corrodens and Porphyromonas asaccharolytica, in an immunocompetent diabetic patient with obstructive sleep apnea syndrome, followed by a discussion on the role of noninvasive ventilation in the development of this infection.
authors.affiliation: Serviço de Medicina Interna e Serviço de Pneumologia, Departamento de Medicina, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos - E.P.E., Senhora da Hora, Portugal. joao.gil@ulsm.min-saude.pt
authors.forename: J
authors.initials: J
authors.lastname: Caiano Gil
authors.forename: R
authors.initials: R
authors.lastname: Calisto
authors.forename: J
authors.initials: J
authors.lastname: Amado
authors.forename: V
authors.initials: V
authors.lastname: Barreto
mesh_terms: D000368:Aged; D016866:Bacteroidaceae Infections / Q000150:complications*; D048909:Diabetes Complications / Q000382:microbiology*; D016124:Eikenella corrodens; D016724:Empyema, Pleural / Q000382:microbiology*; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications*; D006801:Humans; D063087:Noninvasive Ventilation; D017861:Porphyromonas; D020181:Sleep Apnea, Obstructive / Q000150:complications*