Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 169-175
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.169
Lung imaging characteristics in a patient infected with Elizabethkingia miricola following cerebral hemorrhage surgery: A case report
Ping-Qiang Qi, Yi-Jun Zeng, Wei Peng, Juan Kuai
Ping-Qiang Qi, Yi-Jun Zeng, Wei Peng, Juan Kuai, Department of Neurosurgery, The Third Affiliated Hospital of Chengdu Medical College Pidu District People’s Hospital, Chengdu 611730, Sichuan Province, China
Author contributions: Qi PQ designed the study and wrote the manuscript; Zeng YJ wrote, reviewed and edited the manuscript; Peng W performed data curation and data analysis; Kuai J edited the manuscript and figures; all authors have read and approved the final version to be published.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Jun Zeng, MD, Doctor, Department of Neurosurgery, The Third Affiliated Hospital of Chengdu Medical College Pidu District People’s Hospital, No. 666 Deyuan North 2nd Road, Pidu District, Chengdu 611730, Sichuan Province, China. zengyijun1982_zyj@163.com
Received: September 13, 2023
Peer-review started: September 13, 2023
First decision: November 9, 2023
Revised: November 12, 2023
Accepted: December 18, 2023
Article in press: December 18, 2023
Published online: January 6, 2024
Abstract
BACKGROUND

Elizabethkingia miricola is a non-fermenting gram-negative bacterium, which was first isolated from the condensate of the Russian peace space station in 2003. Most studies on this bacterium have been carried out in the laboratory, and clinical case studies are rare. To date, a total of 6 clinical cases have been reported worldwide.

CASE SUMMARY

We present the first case of postoperative pulmonary infection in a patient with intracerebral hemorrhage due to Elizabethkingia miricola. The imaging characteristics of pulmonary infection were identified and the formulation and selection of the clinical treatment plan for this patient are discussed.

CONCLUSION

Elizabethkingia miricola infection is rare. When pulmonary infection occurs, computed tomography imaging may show diffuse distribution of a ground glass density shadow in both lungs, the air containing bronchial sign in local areas, thickening of bronchial vascular bundle, and pleural effusion.

Keywords: Elizabethkingia miricola, Cerebral hemorrhage surgery, Postoperative pulmonary infection, Imaging features, Case report

Core Tip:Elizabethkingia miricola infection is rarely reported. We report a 54-year-old male with Elizabethkingia miricola infection in the lungs after surgery for cerebral hemorrhage. The clinical symptoms after infection were nonspecific and could not be timely and accurately diagnosed. Therefore, this report focuses on the imaging characteristics of pulmonary Elizabethkingia miricola infection.