Co-infection with Streptococcus anginosus and Mycobacterium tuberculosis in an immunocompetent pediatric patient. A case report.

Autor: Saldaña NG; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., Bejarano JIC; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., Porras MH; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., de la Garza EA; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., Gutiérrez SF; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., Gutiérrez JLC; Department of Infectious Diseases, National Institute of Pediatrics (NIP), Imán Avenue No. 1, 3rd floor, Cuicuilco District, 04530, Mexico City, CP, Mexico., Olguin HJ; Laboratory of Pharmacology, NIP and Dept of Pharmacology Faculty of Medicine, Universidad Nacional Autónoma de, Mexico City, Mexico. juarezol@yahoo.com.; Laboratorio de Farmacología, Instituto Nacional de Pediatría, Avenida Imán N° 1, 3rd piso Colonia Cuicuilco CP, 04530, Mexico City, Mexico. juarezol@yahoo.com.
Jazyk: angličtina
Zdroj: BMC pulmonary medicine [BMC Pulm Med] 2020 Jan 08; Vol. 20 (1), pp. 5. Date of Electronic Publication: 2020 Jan 08.
DOI: 10.1186/s12890-019-1044-y
Abstrakt: Background: Simultaneous infection in tuberculosis (TB) is rare. The mixed infection between Streptococcus anginosus group (SAG) and M. tuberculosis (MTB) has not been reported in children. The aim of this report was to describe a pediatric case with a pulmonary abscess caused by the duality SAG-MTB co-infection.
Case Presentation: An 11-year-old boy with an acute onset of throbbing pain of two-day evolution located in the anterior chest wall. The patient reported a history of fever, cough and rhinorrhea during the last seven days. An anterior chest radiography revealed a heterogenic opacity at the lower right lobe while the lateral projection showed an obliteration at the anterior diaphragmatic insertion. Parenteral Ceftriaxone (100 mg/kg/day) and Dicloxacillin (200 mg/kg/day) was started. The abscess was subsequently drained and analyzed. After a year of follow-up, the patient remained asymptomatic.
Conclusion: This case represents the first reported case of pulmonary co-infection involving MTB and SAG in an immunocompetent pediatric patient.
Databáze: MEDLINE
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