title: Empyema Secondary toActinomyces meyeriTreated Successfully with Ceftriaxone Followed by Doxycycline.
abstract: Actinomycosis is a relatively rare infection caused by Gram-positive bacteria. We present the case of a 54-year-old, previously healthy, male patient with a history of severe penicillin allergy who developed severe pneumonia and empyema caused byActinomyces meyeri. Presenting symptoms included productive cough, right upper quadrant pain, and chills and rigors. He required drainage of the empyema via tube and prolonged antibiotic treatment with intravenous ceftriaxone for 2 weeks followed by oral doxycycline for 6 months.
authors.affiliation: Department of Medicine, Mater Dei Hospital, Msida, Malta.
authors.forename: Etienne
authors.identifier: 0000-0002-7361-6303
authors.initials: E
authors.lastname: Paris
authors.affiliation: General Medicine and Infectious Diseases, Mater Dei Hospital, Msida, Malta.
authors.forename: Tonio
authors.initials: T
authors.lastname: Piscopo
authors.affiliation: General and Acute Medicine, Mater Dei Hospital, Msida, Malta.
authors.forename: Karen
authors.initials: K
authors.lastname: Cassar