Co-infection with Streptococcus anginosus and Mycobacterium tuberculosis in an immunocompetent pediatric patient. A case report

Autor: Napoleon González Saldaña, José Iván Castillo Bejarano, Marte Hernández Porras, Eduardo Arias de la Garza, Sofia Fortes Gutiérrez, Jose Luis Copado Gutiérrez, Hugo Juarez Olguin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Pulmonary Medicine, Vol 20, Iss 1, Pp 1-5 (2020)
Druh dokumentu: article
ISSN: 1471-2466
DOI: 10.1186/s12890-019-1044-y
Popis: Abstract Background Simultaneous infection in tuberculosis (TB) is rare. The mixed infection between Streptococcus anginosus group (SAG) and M. tuberculosis (MTB) has not been reported in children. The aim of this report was to describe a pediatric case with a pulmonary abscess caused by the duality SAG-MTB co-infection. Case presentation An 11-year-old boy with an acute onset of throbbing pain of two-day evolution located in the anterior chest wall. The patient reported a history of fever, cough and rhinorrhea during the last seven days. An anterior chest radiography revealed a heterogenic opacity at the lower right lobe while the lateral projection showed an obliteration at the anterior diaphragmatic insertion. Parenteral Ceftriaxone (100 mg/kg/day) and Dicloxacillin (200 mg/kg/day) was started. The abscess was subsequently drained and analyzed. After a year of follow-up, the patient remained asymptomatic. Conclusion This case represents the first reported case of pulmonary co-infection involving MTB and SAG in an immunocompetent pediatric patient.
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