case_images: PMC11813747_01
case_images: On the fourth day of the fever, 16-slice computed tomography (CT) images of the patient were obtained. (A) Swelling of the right side of the neck soft tissue; (B) lung window in the upper thoracic cavity.
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case_images: PMC11813747_01_fmed-12-1517389-g001.jpg
case_images: fig1
case_images: The computed tomography (CT) examination revealed no obvious abnormalities in the lungs or the chest cavity but showed suspicious swelling of the soft tissue on the right side of the neck (see Figure 1).
case_images: On the seventh day of the fever, 16-slice computed tomography images of the patient's chest revealed multiple serous cavity effusions. (A) Lung window in the upper thoracic cavity; (B) mediation window in the upper thoracic cavity; (C) mediation window in the middle part of the thoracic cavity; (D) mediation window in the lower thoracic cavity.
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case_images: PMC11813747_01_fmed-12-1517389-g002.jpg
case_images: fig2
case_images: The right lung was infected by a scattered pattern (see Figure 2).
case_images: On the seventh day of the fever, the diagnosis was determined. (A) Appearance of pleural effusion; (B) position map of P. oleracea via metagenomic next-generation sequencing; (C) position map of S. constellatus via metagenomic next-generation sequencing; (D) position map of HGM4 via metagenomic next-generation sequencing.
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case_images: PMC11813747_01_fmed-12-1517389-g003.jpg
case_images: fig3
case_images: Pericardial puncture fluid was also obtained, and the thoracic cavity, pericardial drainage fluid, and peripheral blood were examined for pathogenic bacteria using metagenomic next-generation sequencing (mNGS), which identified a large number of Prevotella oris (see Figure 3).
case_images: A figure explicitly showcasing the timeline with clinical and diagnostic milestones in this case.
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case_images: PMC11813747_01_fmed-12-1517389-g004.jpg
case_images: fig4
case_images: A figure explicitly showcasing this timeline with clinical and diagnostic milestones is presented in Figure 4.
case_images: 16-slice computed tomography images of the chest were obtained during the follow-up after the patient was cured. (A) Mediation window in the upper thoracic cavity; (B) mediation window in the lower thoracic cavity; (C) lung window in the upper thoracic cavity; (D) lung window in the lower thoracic cavity.
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case_images: PMC11813747_01_fmed-12-1517389-g005.jpg
case_images: fig5
case_images: Three months after discharge, the patient's CT re-examination showed that the lesion had mostly resolved (see Figure 5), and he expressed great satisfaction with the diagnosis and treatment he received during his hospital stay.