Group B streptococcal empyema necessitatis with pleural fistula after blunt trauma: A case report
| Autor: | Takashi Ohki, Yoshiki Shigematsu, Shunzo Hatooka |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Group B Streptococcus
medicine.medical_specialty medicine.medical_treatment Group B Streptococcal Infection EN empyema necessitatis Group B Article 03 medical and health sciences GBS group B Streptococcus 0302 clinical medicine Blunt medicine Thoracotomy business.industry medicine.disease bacterial infections and mycoses Empyema respiratory tract diseases Surgery CT computed tomography Empyema necessitatis Blunt trauma 030220 oncology & carcinogenesis Septic arthritis 030211 gastroenterology & hepatology HbA1c glycated hemoglobin business Complication |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Empyema necessitatis (EN) occurred with a pleural fistula after blunt chest trauma. • We report the first case of group B streptococcal (GBS) EN resulting from trauma. • Septic arthritis occurred after open-window thoracotomy. • GBS infection might become invasive in immunocompromised patients. • Careful follow-up of such patients who develop a new focus of infection is important. Introduction We report the first case of empyema necessitatis (EN) with pleural fistula and septic arthritis caused by Streptococcus agalactiae following blunt trauma. Presentation of the case A 46-year-old man with diabetes mellitus and a history of recent right rib fracture and right knee bruising presented with dyspnea and right knee pain. He was diagnosed with EN and underwent chest drainage, followed by open-window thoracotomy. Septic arthritis occurred on day 8 after thoracotomy. The chest wall wound healed after 3 months. Discussion EN is a rare complication of empyema. In this patient, infection was invasive, causing necrotizing pneumonia with a pleural fistula. To our knowledge, there are no reports of group B streptococcal EN with a pleural fistula resulting from blunt chest trauma. Conclusion Group B streptococcal infection might become invasive in immunocompromised patients, so careful follow-up for those patients is important. |
| Databáze: | OpenAIRE |
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