A rare case of pleural effusion due to Prevotella dentalis

Anaerobe. 2018 Dec:54:144-145. doi: 10.1016/j.anaerobe.2018.09.004. Epub 2018 Sep 19.

Abstract

Prevotella dentalis is a Gram-negative anaerobic rod involved in various human diseases, especially oral infections. We report a rare case of a pleural effusion due to this microorganism in an elderly patient. An 88-year-old man with chronic respiratory disease presented with a left pleural effusion for more than 1 month. Culture of drained pleural fluid resulted in isolation of P. dentalis. Resistance to penicillin and moxifloxacin was documented. Treatment with drainage and clindamycin was established, but the patient developed cognitive impairment and died after a worsening of his general condition.

Keywords: Anaerobe; Antimicrobials; Drainage; P. dentalis; Pleural effusion.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Bacteroidaceae Infections / diagnosis
  • Bacteroidaceae Infections / drug therapy
  • Bacteroidaceae Infections / microbiology*
  • Clindamycin / administration & dosage
  • Humans
  • Male
  • Pleural Effusion / diagnosis
  • Pleural Effusion / drug therapy
  • Pleural Effusion / microbiology*
  • Prevotella / classification
  • Prevotella / drug effects
  • Prevotella / genetics
  • Prevotella / isolation & purification*

Substances

  • Anti-Bacterial Agents
  • Clindamycin