May 1981

Eikenella corrodens Empyema in Children

Author Affiliations

From the Division of Infectious Diseases, Department of Pediatrics, The Hospital for Sick Children, and the Division of Infectious Diseases, Department of Medicine, Toronto General Hospital, Toronto.

Am J Dis Child. 1981;135(5):415-417. doi:10.1001/archpedi.1981.02130290013006

Eikenella corrodens is a slow-growing, Gram-negative, facultative, anaerobic organism that is normally found among oropharyngeal flora. Its isolation as a pathogen is increasingly being reported. Although well documented in the literature on adults, few cases of E corrodens infection have been reported in children. We describe two children with E corrodens pneumonia and empyema. In one, infection was mixed, but in the other the organism was isolated in pure culture. Both patients recovered after therapy with a combination of an antibiotic active in vitro against the organism, and surgical drainage. The diagnosis, bacteriology, and evidence for potential pathogenicity of the organism are reviewed; E corrodens should be considered as a potential pathogen, especially in predisposed patients.

(Am J Dis Child 1981;135:415-417)