Bilateral Empyema With Beta Hemolytic Group C Streptococcus and Streptococcus constellatus Co-infection Resulting From an Esophageal Perforation and Associated With Septic Shock, Diffuse ST Elevation, and New-Onset Atrial Fibrillation.

Autor:	Forsah SF; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Ugwendum D; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Fuoching N; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Arrey Agbor DB; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Villanueva K; Radiology, Richmond University Medical Center, Staten Island, USA., Ndemazie NB; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Kankeu Tonpouwo G; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Ndema N; Internal Medicine, Richmond University Medical Center, Staten Island, USA., Diaz K; Pulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA., Saverimuttu J; Infectious Disease, Richmond University Medical Center, Staten Island, USA., Nfonoyim J; Pulmonary and Critical Care, Richmond University Medical Center, Staten Island, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Mar 30; Vol. 16 (3), pp. e57251. Date of Electronic Publication: 2024 Mar 30 (Print Publication: 2024).
DOI:	10.7759/cureus.57251
Abstrakt:	Empyema is the collection of pus in the pleural cavity and most times, it occurs unilaterally. It is often associated with underlying pneumonia, but other causes have been identified as well. When it occurs after an esophageal perforation, which in itself is also rare, morbidity and mortality are even higher. Esophageal perforation can cause life-threatening complications due to its close proximity to the vital organs of the mediastinum, necessitating its timely diagnosis and aggressive management. Bacteria forming part of the normal esophageal and oral flora are the most common causative pathogens for empyema from an esophageal perforation. Streptococcus constellatus and group C Streptococci, though both rare and often not taken seriously, have been identified as individual causes of empyema. We present a case of a 58-year-old male who presented with a worsening cough, chest pain, and shortness of breath after choking on a fish bone. He was diagnosed with bilateral loculated empyema resulting from esophageal perforation with the pleural fluid culture isolating both group C streptococcus and Streptococcus constellatus. He also developed respiratory failure, mediastinitis, and septic shock. This case will enable physicians to take empyema caused by these bacteria seriously and also to include esophageal perforation as a differential diagnosis when a patient presents with bilateral empyema associated with chest pain and electrocardiographic changes. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Forsah et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu