Rapid developing empyema by group F beta Streptococcus anginosus group
| Autor: | Muhammad Azharuddin, Prem Shanker Shukla, Ajay Mathur, Dy Prudence |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pleural effusion Atelectasis Dental Caries Palpation Article 03 medical and health sciences 0302 clinical medicine Streptococcal Infections medicine Humans 030212 general & internal medicine Empyema Pleural Multiple Pulmonary Nodules medicine.diagnostic_test business.industry Complete blood count General Medicine medicine.disease Empyema Cephalosporins medicine.anatomical_structure 030228 respiratory system Streptococcus anginosus Cardiothoracic surgery Chest Tubes Abdomen Administration Intravenous Radiology business |
| Zdroj: | BMJ Case Reports. :bcr-2017 |
| ISSN: | 1757-790X |
| Popis: | A 43-year-old male had progressive pleuritic left-sided chest tightness with shortness of breath. He had dental caries and tenderness on palpation of the left lateral chest. Complete blood count showed leucocytosis. CT scan of the chest with pulmonary emboli protocol showed multiple pulmonary nodules and nodular pleural thickening at left posterior lateral pleura. Forty-eight hours post CTPE scan, CT scan of the chest, abdomen and pelvis displayed right lower lobe consolidation and left-sided pleural effusion with superimposed compressive atelectasis. Ceftaroline intravenous was initiated, with CT-guided pigtail chest tube insertion. Pleural fluid later grew group F beta-haemolytic Streptococcus anginosus. Patient improved significantly and was discharged 11 days later with intravenous ertapenem. Patients with group F beta-haemolytic streptococci should be managed aggressively with early and accurate diagnosis, antibiotics, drainage and possible surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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