A pediatric case of fever of unknown origin and pericarditis associated with actinomyces pneumonia

IDCases

Ara Albert Alexanian¹  Maria Concepcion Mendoza²  Rhonda Keosheyan³  Rhobe Brager³ 

[1] College of Medicine, California Northstate University, 9700W Taron Dr., Elk Grove, CA 95757, United States;Department of Pediatrics, University of California San Francisco Fresno, 155N. Fresno Street, Fresno, CA 93701, United States;Department of Pediatrics, Valley Children’s Hospital, 9300 Valley Children’s Place, Madera, CA 93636, United States;

关键词: Actinomyces meyeri;    Pneumonia;    Pericarditis;    Coxsackie B;    Colchicine;    Steroids;   

DOI  :  

来源: DOAJ

【 摘 要 】

We describe a rare case of Actinomyces meyeri pneumonia in a pediatric patient. Our patient was admitted twice for recurrent pericarditis in the setting of persistent fevers, initially thought to be secondary to Coxsackie B virus. She was treated with colchicine and ibuprofen, as well as a short course of oral steroids. Patient was admitted a third time for acute respiratory failure and was found to have a large right empyema and pleural effusion requiring chest tube placement. After extensive multi-specialty workup, A. meyeri was isolated from chest tube culture. Patient’s intravenous (IV) antibiotics were subsequently narrowed to ampicillin, and she was discharged.

【 授权许可】

Unknown