Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis

Although infection caused by Edwardsiella tarda is rare in humans, it can be fatal if contracted. A 78-year-old man with liver cirrhosis who ate raw fish on a regular basis was emergently admitted for treatment of septic shock. Computed tomography scan showed massive empyema in his right lung. The p...

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Main Authors: Naruhiro Kimura, Masaki Mito, Hanako Yamazaki, Ryo Jinbo, Yuichi Kojima, Yoshihisa Arao, Kazunao Hayashi, Atsunori Tsuchiya, Shuji Terai
Format: Article
Language:English
Published: American College of Physicians 2023-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0973
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author Naruhiro Kimura
Masaki Mito
Hanako Yamazaki
Ryo Jinbo
Yuichi Kojima
Yoshihisa Arao
Kazunao Hayashi
Atsunori Tsuchiya
Shuji Terai
author_facet Naruhiro Kimura
Masaki Mito
Hanako Yamazaki
Ryo Jinbo
Yuichi Kojima
Yoshihisa Arao
Kazunao Hayashi
Atsunori Tsuchiya
Shuji Terai
author_sort Naruhiro Kimura
collection DOAJ
description Although infection caused by Edwardsiella tarda is rare in humans, it can be fatal if contracted. A 78-year-old man with liver cirrhosis who ate raw fish on a regular basis was emergently admitted for treatment of septic shock. Computed tomography scan showed massive empyema in his right lung. The patient was diagnosed with septic shock with empyema caused by E tarda after a positive blood culture and drainage culture from the empyema. His condition improved with multidisciplinary therapy. However, the patient died 36 days after admission because of liver failure. We recommend that patients with liver cirrhosis should avoid raw fish.
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issn 2767-7664
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publishDate 2023-04-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-ae215c39dd1645348f6bdfb8d43ed26d2025-08-20T02:12:58ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-04-012410.7326/aimcc.2022.0973Massive Empyema With Edwardsiella tarda in a Patient With Liver CirrhosisNaruhiro Kimura0Masaki Mito1Hanako Yamazaki2Ryo Jinbo3Yuichi Kojima4Yoshihisa Arao5Kazunao Hayashi6Atsunori Tsuchiya7Shuji Terai81Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, Japan1Division of Gastroenterology and Hepatology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata City, Niigata, JapanAlthough infection caused by Edwardsiella tarda is rare in humans, it can be fatal if contracted. A 78-year-old man with liver cirrhosis who ate raw fish on a regular basis was emergently admitted for treatment of septic shock. Computed tomography scan showed massive empyema in his right lung. The patient was diagnosed with septic shock with empyema caused by E tarda after a positive blood culture and drainage culture from the empyema. His condition improved with multidisciplinary therapy. However, the patient died 36 days after admission because of liver failure. We recommend that patients with liver cirrhosis should avoid raw fish.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0973
spellingShingle Naruhiro Kimura
Masaki Mito
Hanako Yamazaki
Ryo Jinbo
Yuichi Kojima
Yoshihisa Arao
Kazunao Hayashi
Atsunori Tsuchiya
Shuji Terai
Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
Annals of Internal Medicine: Clinical Cases
title Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
title_full Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
title_fullStr Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
title_full_unstemmed Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
title_short Massive Empyema With Edwardsiella tarda in a Patient With Liver Cirrhosis
title_sort massive empyema with edwardsiella tarda in a patient with liver cirrhosis
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0973
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