case_images: PMC11349742_01
case_images: CT findings in different periods. (A-C) On admiration, the patient showed left pleural effusion, air accumulation, left lung atelectasis, local compactness, right lung infection, a small amount of pleural effusion on the right. (D-F) On Mar-01, the CT scan indicated bilateral liquid pneumothorax, local fluid accumulation on the left side showed a high-density shadow, two lungs atelectasis, local consolidation, two lungs infection, left lung consolidation and atelectasis improved. (G-I) On Mar-05, bilateral liquid pneumothorax still can be found, but left attasis slightly improved.
case_images: fmed-11-1435823-g001.jpg
case_images: PMC11349742_01_fmed-11-1435823-g001.jpg
case_images: F1
case_images: Chest CT showed left pleural effusion, pneumothorax, left lung atelectasis, focal consolidation, and infection in the right lung with a small right-sided pleural effusion (Figures 1A-C). Subsequent CT scans demonstrated bilateral pleural effusions, denser left sided effusion, atelectasis in both lungs, focal consolidation, and improved left lung consolidation and atelectasis compared to the previous one (Figures 1D-F). By Mar-05, drainage from the left lung was satisfactory, with improved atelectasis compared to previous scans (Figures 1G-I).
case_images: Distribution of pathogens detected by mNGS in BALF, blood and pleural effusion.
case_images: fmed-11-1435823-g002.jpg
case_images: PMC11349742_01_fmed-11-1435823-g002.jpg
case_images: F2
case_images: Anaerobic bacteria, primarily oral colonizers, including Parvimomas micra, Peptostreptococcus stomatis, Olsenella uli, and Slackia exigua, were identified on Mar-01 (Figure 2).
case_images: The clinical course of the patient. CRP, C-reactive protein; WBC, white blood cell; MDRAB, multidrug-resistant Acinetobacter baumannii.
case_images: fmed-11-1435823-g003.jpg
case_images: PMC11349742_01_fmed-11-1435823-g003.jpg
case_images: F3
case_images: The patient's treatment course is detailed in Figure 3.