Evidence map›Paper›PMID 38971721›Full record

ArticleBMC infectious diseases2024

Management of patient with Fusobacterim nucletum related pleural empyema: intrapleural antibiotic therapy can be considered for salvage therapy.

Jingjing Wang, Jing Li, Zhanfei Sun, Shu Zhang, Li Ma, Xiaomei Liu, Xiaoyun Yang, Junqiang Ai, YuanSong, Liang Sun and 5 more

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Microbial Detection in Community-Acquired Pleural Space Infections Using the BIOFIRE Joint Infection Panel and Individual Polymerase Chain Reaction Assays.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jingjing Wang *Department of Intensive Care Unit, Tianjin First Center Hospital, No.24 Fukang Street of Nankai District, Tianjin, 300152, China. wjj3531@163.com.
Jing Li *Department of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Zhanfei SunDepartment of rheumatology, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Shu ZhangDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Li MaDepartment of Anesthesiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xiaomei LiuDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Xiaoyun YangDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Junqiang AiDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
YuanSongDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Liang SunDepartment of rheumatology, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China.
Xuewen LiDepartment of Geriatrics, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Tao HeDepartment of Pathology, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, 300162, China.
Yueyong XiaoDepartment of Radiology, The First Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Hongmei GaoDepartment of Intensive Care Unit, Tianjin First Center Hospital, No.24 Fukang Street of Nankai District, Tianjin, 300152, China. hmg20192021@163.com.
Fei YuanDepartment of MRI, Afliated Hospital, Logistics University of Chinese People's Armed Police Forces, Tianjin, 300162, China. yuanfei99@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pleural empyema can lead to significant morbidity and mortality despite chest drainage and antibiotic treatment, necessitating novel and minimally invasive interventions. Fusobacterium nucleatum is an obligate anaerobe found in the human oral and gut microbiota. Advances in sequencing and puncture techniques have made it common to detect anaerobic bacteria in empyema cases. In this report, we describe the case of a 65-year-old man with hypertension who presented with a left-sided encapsulated pleural effusion. Initial fluid analysis using metagenomic next-generation sequencing (mNGS) revealed the presence of Fusobacterium nucleatum and Aspergillus chevalieri. Unfortunately, the patient experienced worsening pleural effusion despite drainage and antimicrobial therapy. Ultimately, successful treatment was achieved through intrapleural metronidazole therapy in conjunction with systemic antibiotics. The present case showed that intrapleural antibiotic therapy is a promising measure for pleural empyema.

Indexed as

Anti-Bacterial AgentsEmpyema, PleuralFusobacterium nucleatumSalvage TherapyAgedFusobacterium InfectionsHigh-Throughput Nucleotide SequencingHumansMaleMetronidazoleTreatment OutcomeAnti-Bacterial AgentsMetronidazoleFusobacterium nucleatumIntrapleural therapyPleural empyema

Identifiers

PMID38971721
PMCPMC11227127

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.