A case of severe empyema with acute respiratory distress syndrome caused by Slackia exigua requiring veno-venous extracorporeal membrane oxygenation. (December 2017)

• Record Type: Journal Article
• Authors: Man, M.Y.; Shum, H.P.; Wu, Alan; Lee, R.A.; Yan, W.W.
• Is Part Of: Anaerobe. Volume 48(2017)
• Page Start: 7
• Page End: 11
• Publication Date: 2017-12
• Subjects: Anaerobic infections -- Periodicals; Anaerobic bacteria -- Periodicals; Bacterial diseases -- Periodicals; Computer network resources; Anaerobic protozoa -- Periodicals; 579.3
• DOI: 10.1016/j.anaerobe.2017.06.017
• Languages: English
• ISSNs: 1075-9964

Abstract

Abstract: Slackia exigua (S. exigua) is an obligatory anaerobic coccobacillus under the family of Coriobacteriaceae . It is a rare cause of pyogenic extraoral infections. We report a 58-year-old lady with good past health presented with fulminant community-acquired pneumonia causing acute respiratory distress syndrome caused by S. exigua requiring veno-venous extra-corporeal membrane oxygenation (VV-ECMO). Bacterial identification can be challenging and often require 16 S rRNA and MALDI-TOF MS. The patient was treated with amoxicillin-clavulanic acid according to sensitivity and made significant recovery. Highlights: Slackia exigua (S. exigua) is an obligatory anaerobic coccobacillus under the family of Coriobacteriaceae. It is a rare cause of pyogenic extraoral infections but fulminant pneumonia is reported in predisposed individuals. Bacterial identification can be challenging and often require 16s rRNA and MALDI-TOF MS.