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(Chest. 1975;68:104-106.)
© 1975 American College of Chest Physicians

Massive Empyema Due to Citrobacter diversus Citrobacter diversus

Armando Madrazo M.D.1; Michael D. Henderson M.D.2; Laurence Baker D.O.3; Vainutis K. Vaitkevicius M.D.4; and Carl B. Lauter M.D.5

1 Senior Resident, Internal Medicine, The Grace Hospital
2 Chief Fellow in Oncology (USPHS), Department of Oncology, Wayne State University School of Medicine
3 Assistant Professor, Department of Oncology, Wayne State University School of Medicine
4 Professor of Medicine and Oncology; Chairman, Department of Oncology, Wayne State University School of Medicine
5 Assistant Professor of Medicine, Wayne State University School of Medicine; Chief, Section of Infectious Diseases, The Grace Hospital

Citrobacter diversus is a gram-negative rod member of the Enterobacteriaceae family. A patient is described from whom this organism was isolated twice in pure culture from empyema fluid. Our isolates of Citrobacter diversus were resistant to ampicillin and carbenicillin and sensitive to cephalothin. Citrobacter diversus should be distinguished from Citrobacter freundii, Enterobacter cloacae and Klebsiella pneumoniae. This organism joins Streptococcus pyogenes, bacteroides species, anaerobic streptococci and Escherichia coli as a cause of slight pneumonia with extensive empyema.






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Copyright © 1975 by the American College of Chest Physicians.