Hemorrhagic pneumonia and upper lobe pulmonary cavitary lesion caused by Streptococcus pyogenes .

Autor: Nair GB; Department of Medicine, Saint Agnes Healthcare, Baltimore, UNITED STATES., Gopalakrishna H; Department of Medicine, Saint Agnes Healthcare, Baltimore, UNITED STATES., Conti R; Department of Medicine, Saint Agnes Healthcare, Baltimore, UNITED STATES.
Jazyk: angličtina
Zdroj: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2021 Mar 23; Vol. 11 (2), pp. 235-237. Date of Electronic Publication: 2021 Mar 23.
DOI: 10.1080/20009666.2021.1877394
Abstrakt: A 33-year-old previously healthy man from Mexico who presented with massive hemoptysis, fevers, chills and found to have cavitary lesions in the right upper lobe of lung was highly suspicious for tuberculosis. The patient was treated with vancomycin, ceftriaxone, azithromycin and placed on isolation for suspected tuberculosis. Sputum AFB stains were negative and blood cultures grew Group A Streptococcus [GAS]. Antibiotics were narrowed down to ampicillin-sulbactam and the patient was discharged with significant clinical improvement. Strep A pyogenes is a rare cause of cavitary hemorrhagic pneumonia but is associated with high mortality. Clinical suspicion and early diagnosis are crucial in saving the patient.
Competing Interests: The authors report no conflict of interest.
(© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.)
Databáze: MEDLINE
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