Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_362»
«MEDICAL WRITING: CASE ABSTRACT_362»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
aphrophilus in a patient with recurrent empyema: a case report
Aggregatibacter aphrophilus (formerly Haemophilus aphrophilus and H.
paraphrophilus) is classically associated with infective endocarditis.
Other infections reported in the literature include brain abscess, bone and
joint infections and endophthalmitis. There are only two cases of empyema ever
reported due to this organism. We report the isolation of A.
aphrophilus from pleural fluid on three separate hospital admissions
in a patient with recurrent empyema.
A 65-year-old female patient of
Caucasian origin presented with a three-week history of fever, shortness of
breath and dry cough. She was found to have a pleural empyema so a chest drain
was inserted and a sample of pus was sent to the microbiology laboratory. After
overnight incubation, a chocolate blood agar plate incubated in 5% carbon
dioxide showed a profuse growth of small, round, glistening colonies which were
identified as Gram-negative coccobacilli. They were oxidase- and
catalase-negative. Biochemical testing using RapID NH confirmed the identity of
the organism as A. aphrophilus. It was susceptible to amoxicillin,
levofloxacin and doxycycline. Our patient was treated with intravenous
amoxicillin with clavulanic acid and clarithromycin followed by oral
doxycycline, but was re-admitted twice over the next three months with
recurrent empyema and the same organism was isolated. Each episode was managed
with chest drainage and a six-week course of antibiotic--doxycycline for the
second episode and amoxicillin for the third episode, after which she has
This is the first case report of
recurrent empyema due to A. aphrophilus. Our patient had no
underlying condition to explain the recurrence. Although our isolate was
doxycycline susceptible, our patient had recurrent infection after treatment
with this antibiotic, suggesting that this antibiotic is ineffective in
treatment of deep-seated A. aphrophilus infection. This
organism can be difficult to identify in the laboratory because, unlike closely
related Haemophilus spp., it is oxidase-negative, catalase-negative
and X and V independent.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?