Hemorrhagic pneumonia and upper lobe pulmonary cavitary lesion caused by Streptococcus pyogenes

Autor:	Gayatri B Nair, Harish Gopalakrishna, Ricardo Conti
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	streptococcus pyogenes group a streptococcus hemorrhagic pneumonia gas pneumonia cavitary lung lesion Internal medicine RC31-1245
Zdroj:	Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 2, Pp 235-237 (2021)
Druh dokumentu:	article
ISSN:	2000-9666 20009666
DOI:	10.1080/20009666.2021.1877394
Popis:	A 33-year-old previously healthy man from Mexico who presented with massive hemoptysis, fevers, chills and found to have cavitary lesions in the right upper lobe of lung was highly suspicious for tuberculosis. The patient was treated with vancomycin, ceftriaxone, azithromycin and placed on isolation for suspected tuberculosis. Sputum AFB stains were negative and blood cultures grew Group A Streptococcus [GAS]. Antibiotics were narrowed down to ampicillin-sulbactam and the patient was discharged with significant clinical improvement. Strep A pyogenes is a rare cause of cavitary hemorrhagic pneumonia but is associated with high mortality. Clinical suspicion and early diagnosis are crucial in saving the patient.
Databáze:	Directory of Open Access Journals
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