Two Cases of Group A Streptococcus-Induced Right Empyema: Rare Occurrences in Adult Medicine.
| Autor: | Leung CCD; Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, HKG., Fong PY; Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, HKG., Chan YH; Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, HKG., Ho MY; Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, HKG., Yeung YC; Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong, HKG. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 08; Vol. 16 (9), pp. e68920. Date of Electronic Publication: 2024 Sep 08 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.68920 |
| Abstrakt: | Group A Streptococcus (GAS) empyema, though rare in adults, poses serious clinical challenges. We present two cases of GAS-induced right empyema in immunocompetent patients. Case 1 involved a 45-year-old female Chinese healthcare worker with persistent pleural effusion despite antibiotic therapy. GAS was isolated from her sputum and bronchoalveolar lavage, necessitating a treatment shift to clindamycin and co-amoxiclav. Case 2 featured a 55-year-old Filipino domestic helper exhibiting right lower chest consolidation and effusion. Thoracocentesis confirmed empyema, prompting intrapleural fibrinolytic administration. Both cases highlight the diagnostic complexity and therapeutic intricacies of adult GAS empyema, underscoring the importance of early recognition and tailored management strategies for optimal patient outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Leung et al.) |
| Databáze: | MEDLINE |
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