Pleurocutaneous fistula due to Enterococcus Two rare entities, one patient.

Abstract

We report the case of a 43-year-old Caucasian female patient from a rural area with a personal history of community-acquired pneumonia that required hospitalization on one occasion, one year before her admission. She attended the Internal Medicine service of the “Dr. Rafael Medina Jiménez” Hospital with a current illness of one month's evolution, when she presented a discontinuity in the chest, right posterior axillary line, through which a foul-smelling fluid was draining. Computed tomography showed a pleurocutaneous fistula and the bacteriological study obtained by thoracentesis showed the causal agent: Enterococcus sp. The patient was admitted to the General Surgery service to undergo antimicrobial treatment and surgical resolution; her progress was satisfactory.