{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:24:33Z","timestamp":1753889073807,"version":"3.41.2"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":198,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pulmonology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"Introduction:<\/jats:bold> Necrotizing bronchial infection with severe infectious lymphadenitis is infrequently encountered and most commonly ascribed to Aspergillus<\/jats:italic>, Histoplasma<\/jats:italic>, and Mycobacterium<\/jats:italic> species. We present a unique cause of severe airway destruction with lymphadenitis and bronchopleural fistula formation by the bacterium Gemella morbillorum<\/jats:italic>.<\/jats:p>Case:<\/jats:bold> A 24\u2010year\u2010old man presented with acute symptoms of vomiting, fever, and shoulder pain. A CT of the chest demonstrated a large subcarinal mass encasing the central bronchi. The workup for malignant, fungal, and granulomatous etiologies was unrevealing, while blood cultures identified G. morbillorum<\/jats:italic>. Fiberoptic bronchoscopy revealed a perforation of the right middle lobar bronchus and the formation of a bronchopleural fistula, resulting in a large hydropneumothorax with empyema. Despite antibiotic therapy, surgical intervention to repair the fistula, and ventilatory support, the progression of the bronchopleural fistula led to fatal respiratory failure.<\/jats:p>Conclusion:<\/jats:bold> In cases of severe mediastinal adenopathy in a young patient, bacterial lymphadenitis should be considered in the differential diagnosis with lymphoma, germ cell tumor, granulomatosis with polyangiitis, sarcoidosis, histoplasmosis, and inflammatory myofibroblastic tumor.<\/jats:p>","DOI":"10.1155\/2024\/8850287","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T08:33:53Z","timestamp":1721205233000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endobronchial Infection and Bacterial Lymphadenitis by Gemella morbillorum<\/i> Leading to Airway Perforation and a Bronchopleural Fistula"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6374-3954","authenticated-orcid":false,"given":"Kaitlin N.","family":"DePrez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3853-2654","authenticated-orcid":false,"given":"John","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_1_2","DOI":"10.1080\/17476348.2021.1920404"},{"doi-asserted-by":"publisher","key":"e_1_2_9_2_2","DOI":"10.21037\/jtd.2017.06.31"},{"doi-asserted-by":"publisher","key":"e_1_2_9_3_2","DOI":"10.2169\/internalmedicine.5043-20"},{"doi-asserted-by":"publisher","key":"e_1_2_9_4_2","DOI":"10.7759\/cureus.17728"},{"doi-asserted-by":"publisher","key":"e_1_2_9_5_2","DOI":"10.2169\/internalmedicine.52.8958"},{"doi-asserted-by":"publisher","key":"e_1_2_9_6_2","DOI":"10.2169\/internalmedicine.45.1792"},{"doi-asserted-by":"publisher","key":"e_1_2_9_7_2","DOI":"10.1136\/bcr-2018-226295"},{"doi-asserted-by":"publisher","key":"e_1_2_9_8_2","DOI":"10.1055\/s-2007-966157"},{"doi-asserted-by":"publisher","key":"e_1_2_9_9_2","DOI":"10.1080\/00365540410021144-1"},{"doi-asserted-by":"publisher","key":"e_1_2_9_10_2","DOI":"10.1093\/clinids\/24.2.284"},{"key":"e_1_2_9_11_2","first-page":"107","article-title":"Mediastinal tuberculous lymphadenitis presenting as a mediastinal mass with dysphagia: a case report","volume":"8","author":"Sahin F.","year":"2011","journal-title":"Iranian Journal of Radiology"},{"doi-asserted-by":"publisher","key":"e_1_2_9_12_2","DOI":"10.1148\/radiographics.21.3.g01ma17737"},{"doi-asserted-by":"publisher","key":"e_1_2_9_13_2","DOI":"10.1590\/S0036-46652005000200009"},{"doi-asserted-by":"publisher","key":"e_1_2_9_14_2","DOI":"10.7759\/cureus.10439"},{"doi-asserted-by":"publisher","key":"e_1_2_9_15_2","DOI":"10.1053\/j.semtcvs.2007.11.002"}],"container-title":["Case Reports in Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2024\/8850287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T08:33:57Z","timestamp":1721205237000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2024\/8850287"}},"subtitle":[],"editor":[{"given":"Akif","family":"Turna","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1155\/2024\/8850287"],"URL":"https:\/\/doi.org\/10.1155\/2024\/8850287","archive":["Portico"],"relation":{},"ISSN":["2090-6846","2090-6854"],"issn-type":[{"type":"print","value":"2090-6846"},{"type":"electronic","value":"2090-6854"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8850287"}}