Clinical management of Lancefieldella parvula bacteremia: A case study and review of the literature

This report presented the case of a 55-year-old patient who was admitted to the intensive care unit following a ruptured bronchial arteriovenous malformation (AVM). The patient, with no significant medical history, experienced massive hemoptysis leading to cardiac arrest. After successful resuscitation and embolization of the AVM, the patient developed fever and acute respiratory distress syndrome, requiring deep sedation, muscle paralysis, and prone positioning. Blood culture sampled on the day of admission tested positive for Lancefieldella parvula on day 4. The patient received targeted antimicrobial therapy, resulting in a favorable hemodynamic and respiratory outcome. No source of the bacteremia was found. We reported the general management of this rare cause of bacteremia and provided a review of the existing literature.