The first case report: diagnosis and management of necrotizing fusobacterium lung abscess via BALF next-generation sequencing

期刊论文
出版模式：

开放获取
发表日期：

2024年2月19日

查看全文

Yang Liu,
Ziye Li,
Handan Fu,
Weiliang Ruan,
Hua Wang,
Yuhong Ding,
Miao Zhang

摘要

Background

Fusobacterium necrophorum (F. necrophorum)-induced necrotizing pneumonia is a rare but severe pulmonary infection. Insufficient microbiological detection methods can lead to diagnostic difficulties.

Methods

We report a case of F. necrophorum lung abscess diagnosed by next-generation sequencing (NGS) of bronchoalveolar lavage fluid (BALF).

Results

BALF-NGS detected F. necrophorum, guiding subsequent targeted antibiotic therapy. With active drainage and metronidazole treatment, the patient’s condition was effectively treated.

Conclusion

BALF-NGS is a valuable tool for the rapid diagnosis of infections caused by difficult-to-culture bacteria. It played a decisive role in the early identification of F. necrophorum, enabling timely and targeted antibiotic intervention. Early diagnosis and appropriate treatment are crucial for the management of F. necrophorum pneumonia.