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Navarro-Esteva J, Barbera-Colina DB, Gil-Lorenzo RM. Streptococcus constellatus Pneumonia Invading the Chest Wall: A Rare Presentation. OPEN RESPIRATORY ARCHIVES 2023; 5:100272. [PMID: 37842285 PMCID: PMC10568264 DOI: 10.1016/j.opresp.2023.100272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2023] Open
Affiliation(s)
- Javier Navarro-Esteva
- Pulmonary Department, Hospital Universitario Gran Canaria “Dr. Negrín”, Las Palmas, Spain
| | | | - Rita María Gil-Lorenzo
- Thoracic Surgery Department, Hospital Universitario Gran Canaria “Dr. Negrín”, Las Palmas, Spain
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Almatawah QA, Al-Khalaifah HS, Aldameer AS, Ali AK, Benhaji AH, Varghese JS. Microbiological Indoor and Outdoor Air Quality in Chicken Fattening Houses. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2023; 2023:3512328. [PMID: 37283812 PMCID: PMC10241568 DOI: 10.1155/2023/3512328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 03/15/2023] [Accepted: 03/17/2023] [Indexed: 06/08/2023]
Abstract
This study was conducted at one of the largest poultry companies in Kuwait during November and December 2019 to evaluate the microbiological threats of Escherichia coli (APEC), Salmonella spp., and Aspergillus fumigatus to chickens in fattening houses by counting and identifying the microorganisms by culturing and pyrosequencing analysis. During the fattening cycle, the temperature and humidity ranged between 23.6°C and 29°C and 64.1% and 87.1%, respectively. The total bacterial population and Aspergillus fumigatus measured in the indoor and outdoor air exhibited a linear relationship during the fattening cycle. The total bacterial and Aspergillus concentrations determined during the cycle ranged between 150 and 2000 CFU/m3 and 0 and 1000 CFU/m3, respectively. E. coli and Salmonella spp. concentrations determined during the cycle ranged between 1 and 220 CFU/m3 and 4 and 110 CFU/m3, respectively. Pyrosequencing analysis of the air inside the houses at the end of the cycle revealed extensive biodiversity in the microorganisms, detecting 32 bacterial genera and 14 species. The identified species belonging to the genera Corynebacterium, Haemophilus, Streptococcus, Veillonella, and Aspergillus were identified as potentially affecting human and broiler health. The emission of potentially pathogenic bacteria to the outdoor environment from chicken housing can pose a considerable risk to human health and environmental microbial pollution. This study could guide the development of integrated control devices for monitoring microbes in broiler production facilities during chicken collection for transport to slaughterhouses.
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Affiliation(s)
- Qadreyah A. Almatawah
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
| | - Hanan S. Al-Khalaifah
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
| | - Ahmad S. Aldameer
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
| | - Abdulmohsen K. Ali
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
| | - Ahmed H. Benhaji
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
| | - Julie S. Varghese
- Environment & Life Sciences Research Center, Kuwait Institute for Scientific Research, P.O. Box 24885, Safat 13109, Kuwait
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Kadomatsu Y, Ueno H, Goto M, Ozeki N, Nakamura S, Chen-Yoshikawa TF. Postoperative empyema complicated with descending necrotizing fasciitis: a case report. Surg Case Rep 2022; 8:133. [PMID: 35836035 PMCID: PMC9283599 DOI: 10.1186/s40792-022-01492-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 07/11/2022] [Indexed: 11/10/2022] Open
Abstract
Background Empyema is a serious complication of lung surgery. Case presentation We report a case of Streptococcus anginosus empyema complicated by descending necrotizing fasciitis after surgery. Ten days after the initial surgery, the patient presented with arrhythmia and hypotension with septic shock. Pleural fluid analysis led to the diagnosis of empyema, and surgical debridement (second surgery) was performed. One week after the emergency surgery, a palpable pink erythematous skin change was observed on the ipsilateral iliac crest. Hence, the second emergency surgery (third surgery) was performed to debride the subcutaneous and intramuscular abscesses. Conclusions The possibility of descending abscess and necrotizing fasciitis should be considered when Streptococcus anginosus is detected.
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Almatrafi MA, Almuflihi A, Jarwann R, Alghraibi S, Ashgar E, Alsahaf N, Aburiziza AJ. Viridans Group Streptococcus Meningitis in an Immunocompetent Child: A Case Report. AMERICAN JOURNAL OF CASE REPORTS 2021; 22:e933089. [PMID: 34520449 PMCID: PMC8450424 DOI: 10.12659/ajcr.933089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Patient: Female, 14-month-old
Final Diagnosis: Viridans group streptococcus meningitis
Symptoms: Fever • irritability • vomiting
Medication: —
Clinical Procedure: —
Specialty: Infectious Diseases
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Affiliation(s)
- Mohammed A Almatrafi
- Department of Pediatrics, Umm Al Qura University, Mecca, Saudi Arabia.,Department of Pediatrics, Security Forces Hospital, Mecca, Saudi Arabia
| | | | - Rawan Jarwann
- Department of Pediatrics, Security Forces Hospital, Mecca, Saudi Arabia
| | - Shroq Alghraibi
- Department of Pediatrics, Security Forces Hospital, Mecca, Saudi Arabia
| | - Enais Ashgar
- Medical College of Umm Al Qura University, Mecca, Saudi Arabia
| | - Nouf Alsahaf
- Medical College of Umm Al Qura University, Mecca, Saudi Arabia
| | - Abdullah J Aburiziza
- Department of Pediatrics, Umm Al Qura University, Mecca, Saudi Arabia.,Department of Pediatrics, Security Forces Hospital, Mecca, Saudi Arabia
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Fujihara T, Itoh N, Yamamoto S, Kurai H. Lateral thoracic artery aneurysm with lung abscess and empyema caused by Streptococcus intermedius. J Gen Fam Med 2021; 22:296-297. [PMID: 34485000 PMCID: PMC8411411 DOI: 10.1002/jgf2.448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/06/2021] [Accepted: 04/08/2021] [Indexed: 12/04/2022] Open
Affiliation(s)
- Tatsuya Fujihara
- Division of Emergency and Critical Care Department Shimane Prefectural Central Hospital Izumo Japan
| | - Naoya Itoh
- Division of Infectious Diseases Aichi Cancer Center Hospital Nagoya Nagoya Japan
| | - Shuhei Yamamoto
- Division of Infectious Diseases Shizuoka Cancer Center Hospital Sunto-gun Japan
| | - Hanako Kurai
- Division of Infectious Diseases Shizuoka Cancer Center Hospital Sunto-gun Japan
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6
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Patel I, Douedi S, Makadia S, Upadhyaya V, Akoluk A, Douedi J, Hossain M, Liu E. Streptococcus anginosus Empyema Induced by Dental Abscess: A Case Report. J Med Cases 2021; 11:289-291. [PMID: 34434415 PMCID: PMC8383665 DOI: 10.14740/jmc3547] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/21/2020] [Indexed: 11/26/2022] Open
Abstract
Streptococcus anginosus is a gram-positive catalase-negative cocci and commensal flora of the oropharynx and gastrointestinal tract. Streptococcus anginosus is known to be highly virulent and known to cause invasive pyogenic infection which may necessitate emergent surgical treatment. We present a case of a 53-year-old female with dental caries and uncontrolled diabetes mellitus who presented with progressive shortness of breath for 1 week. A computed tomography scan of the chest showed a loculated empyema which was treated with emergent video-assisted thoracoscopic surgery. Pleural fluid culture as well as sputum cultures grew Streptococcus anginosus. The patient was treated intravenous cephalosporins and discharged on oral antibiotics after 14 days with outpatient dental follow-up and improvement of symptoms.
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Affiliation(s)
- Ishan Patel
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Steven Douedi
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Shraddhadevi Makadia
- Department of Medicine, Ocala Regional Medical Center, University of Central Florida, Ocala, FL 07753, USA
| | - Vandan Upadhyaya
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Arda Akoluk
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Jennifer Douedi
- Tufts University School of Dental Medicine, Boston, MA 02111, USA
| | - Mohammad Hossain
- Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
| | - Edward Liu
- Department of Infectious Disease, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA
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7
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Zhang Z, Xiao B, Liang Z. Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature. J Med Case Rep 2020; 14:180. [PMID: 33023642 PMCID: PMC7539492 DOI: 10.1186/s13256-020-02475-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 07/28/2020] [Indexed: 11/15/2022] Open
Abstract
Background Pyopneumothorax secondary to Streptococcus constellatus infection is a clinically rare event, and few cases have been reported. Case presentation We report the case of a 55-year-old Han Chinese man with underlying diabetes who presented with fever of 17 days duration. A pulmonary computed tomography scan revealed right-sided massive pyopneumothorax. A culture of the pleural effusion and blood grew S. constellatus. A drug sensitivity test showed that the isolate was sensitive to linezolid, penicillin G, cefotaxime, vancomycin, and cefuroxime. Our patient was treated with linezolid for a total of 6 weeks. Subsequently, his chest computed tomography scan showed improved lung condition. Conclusion To the best of our knowledge, this is the first case of pyopneumothorax secondary to S. constellatus to be treated with linezolid. Pyopneumothorax may be caused by streptococcal infection, and linezolid is another good choice for treatment.
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Affiliation(s)
- Zhaorui Zhang
- Department of Respiratory Medicine, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing City, 100853, People's Republic of China
| | - Binbin Xiao
- Department of Respiratory Medicine, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing City, 100853, People's Republic of China
| | - Zhixin Liang
- Department of Respiratory Medicine, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing City, 100853, People's Republic of China.
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8
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Gupta K, Stuewe E, Barry M. Asymptomatic man with an incidental finding of a massive empyema. BMJ Case Rep 2020; 13:13/9/e237178. [PMID: 32913067 DOI: 10.1136/bcr-2020-237178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We describe the case of a 67-year-old asymptomatic man who was referred to our hospital for abnormal laboratory results. He was incidentally found to have a massive empyema without underlying bronchopulmonary pneumonia. Following thoracentesis, he was diagnosed with chronic Streptococcus anginosus empyema. Therapeutic thoracentesis and treatment with tissue plasminogen activator and deoxyribonuclease failed to resolve the empyema, and there was residual loculated pleural fluid that was surrounded by a thick rind. The patient was referred to thoracic surgery for decortication of the pleural space via video-assisted thoracoscopic surgery. At 2-month follow-up, the patient had complete re-expansion of the lung tissue.
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Affiliation(s)
- Kashvi Gupta
- Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | - Elena Stuewe
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Tufts Medical Center, Boston, Massachusetts, USA
| | - Marianne Barry
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, Tufts Medical Center, Boston, Massachusetts, USA
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9
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Tatara Y, Niimura T, Mihara H. Paraparesis and Bilateral Pulmonary Abscesses Secondary to Pyogenic Spondylodiscitis Caused by Streptococcus Anginosus Group Bacteria. Spine Surg Relat Res 2020; 4:190-191. [PMID: 32405569 PMCID: PMC7217682 DOI: 10.22603/ssrr.2019-0069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 08/29/2019] [Indexed: 11/18/2022] Open
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10
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Reis-Melo A, Soares D, Magalhães MF, Ferraz C, Vaz L. COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD. ACTA ACUST UNITED AC 2020; 38:e2018258. [PMID: 32159644 PMCID: PMC7063598 DOI: 10.1590/1984-0462/2020/38/2018258] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 11/04/2018] [Indexed: 11/21/2022]
Abstract
Objective: To highlight the pathogenicity of Streptococcus anginosus,
which is rare in pediatric patients, but can cause severe infections that
are known to have a better outcome when treated early with interventional
procedures and prolonged antibiotic therapy. Case description: The patient is a 6-year-old boy with global
developmental delay, examined in the emergency room due to fever and
respiratory distress. The physical examination and diagnostic workout
revealed complicated pneumonia with empyema of the left hemithorax; he
started antibiotic therapy and underwent thoracic drainage. Pleural fluid
cultures grew Streptococcus anginosus. On day 11, the child
had a clinical deterioration with recurrence of fever, hypoxia, and
respiratory distress. At this point, considering the causative agent, he was
submitted to video-assisted thoracoscopic decortication, with good progress
thereafter. Comments: Streptococcus anginosus is a commensal bacterium of the
human oral cavity capable of causing severe systemic infections. Although
reports of complicated thoracic infections with this agent are rare in the
pediatric population, they have been increasing in adults.
Streptococcus anginosus has a high capacity to form
abscess and empyema, requiring different therapeutic approaches when
compared to complicated pneumonia caused by other agents.
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Affiliation(s)
| | - Diana Soares
- Centro Hospitalar Vila Nova de Gaia, Gaia, Portugal
| | | | | | - Luísa Vaz
- Centro Hospitalar de São João, Porto, Portugal
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11
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Pathologic femoral fracture caused by Streptococcus anginosus osteomyelitis: A case for aggressive surgical management. CURRENT ORTHOPAEDIC PRACTICE 2019. [DOI: 10.1097/bco.0000000000000809] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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12
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Luscan R, Truffert E, Simon F, Belhous K, Verillaud B, Garabedian N, Leboulanger N, Couloigner V. Premaxillary abscess without bony erosion: An unusual complication of pediatric acute maxillary sinusitis. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 136:349-353. [PMID: 31427214 DOI: 10.1016/j.anorl.2019.04.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To report an unusual complication of pediatric acute maxillary sinusitis: premaxillary abscess. To describe clinical, radiological and biological presentation, treatment strategy and progression. MATERIAL AND METHODS A retrospective study included all pediatric patients treated for premaxillary abscess complicating acute maxillary sinusitis in two ENT reference centers between 1999 and 2017. Disease history, clinical presentation, biological and radiological findings, treatment modalities and progression were studied. RESULTS Ten patients were included, with a mean age of 10±4.2 years. All presented with fever, rhinorrhea and premaxillary edema. Contrast-enhanced CT scan systematically found complete opacity of the maxillary sinus, without bone lysis, and extensive effusion along the intersinonasal wall up to the premaxillary region, extending in 3 cases back toward the parapharyngeal space. Bacteriology isolated Streptococcus anginosus most frequently (n=4; 40%). Treatment comprised intravenous wide-spectrum antibiotics, with surgical drainage of the abscess if>10mm (n=9; 90%). Seven of these 9 patients (78%) had recurrent abscess requiring surgical revision and 3 (33%) required a third drainage. All patients were cured without sequelae at 1 month. CONCLUSION In case of acute maxillary sinusitis with premaxillary edema, premaxillary abscess should be suspected. The high recurrence rate argues for maximalist surgery associated to close clinical monitoring with radiological examination.
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Affiliation(s)
- R Luscan
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - E Truffert
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - F Simon
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - K Belhous
- Service de radiologie pédiatrique hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - B Verillaud
- Service d'oto-rhino-laryngologie, hôpital Lariboisière, assistance publique-hôpitaux de Paris, université Paris Diderot, 75010 Paris, France
| | - N Garabedian
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - N Leboulanger
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France
| | - V Couloigner
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants-Malade, assistance publique-hôpitaux de Paris, université Paris Descartes, 75015 Paris, France.
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Cobo F, Sampedro A, Rodríguez-Granger J, Aliaga-Martínez L, Navarro-Marí JM. Clinical and microbiologic characteristics of pleuro-pulmonary infection due to Streptococcus intermedius. REVISTA ESPANOLA DE QUIMIOTERAPIA : PUBLICACION OFICIAL DE LA SOCIEDAD ESPANOLA DE QUIMIOTERAPIA 2018; 31:146-151. [PMID: 29565100 PMCID: PMC6159373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The clinical and microbiological characteristics of pleuro-pulmonary infection (PPI) caused by Streptococcus intermedius is described, including 6 cases in the literature and 9 cases handled at the present centre. Out of the 15 patients, 12 were male; mean age at diagnosis was 62.06 ± 15 years. Twelve had risk factors for S. intermedius infection such as alcoholism in 5 (35.7%) patients, periodontal disease in 3 (24.6%) cases, chronic obstructive pulmonary disease in 3 (24.6%), and diabetes mellitus in 2 (14.2%). Cough was present in 12 (80%) patients and chest pain and dyspnea in 9 (60%). The mean diagnosis interval was 34 days. The diagnosis was obtained from pleural fluid aspirate in 13 (86.6%) cases and from biopsy/tissue samples in 2. The most frequently antimicrobials used for treatment were ceftriaxone + levofloxacin. Ten patients cured with a combination of medical and surgical treatment and 2 patients died as a consequence of infection. The incidence of PPI caused by S. intermedius is increasing in our health area; drainage along with antibiotic therapy is recommended for treatment.
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Affiliation(s)
- Fernando Cobo
- Department of Microbiology and Instituto Biosanitario de Granada, Hospital Virgen de las Nieves
| | - Antonio Sampedro
- Department of Microbiology and Instituto Biosanitario de Granada, Hospital Virgen de las Nieves
| | | | | | - José María Navarro-Marí
- Department of Microbiology and Instituto Biosanitario de Granada, Hospital Virgen de las Nieves
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14
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Mukae H, Noguchi S, Naito K, Kawanami T, Yamasaki K, Fukuda K, Akata K, Fukuda Y, Kido T, Ishimoto H, Sakamoto N, Taniguchi H, Yatera K. The Importance of Obligate Anaerobes and the Streptococcus anginosus Group in Pulmonary Abscess: A Clone Library Analysis Using Bronchoalveolar Lavage Fluid. Respiration 2016; 92:80-9. [DOI: 10.1159/000447976] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Accepted: 06/21/2016] [Indexed: 11/19/2022] Open
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Affiliation(s)
- A Schattner
- From the Department of Medicine, Laniado Hospital, Sanz Medical Center, Netanya, Israel The Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel
| | - I Dubin
- From the Department of Medicine, Laniado Hospital, Sanz Medical Center, Netanya, Israel
| | - M Gelber
- From the Department of Medicine, Laniado Hospital, Sanz Medical Center, Netanya, Israel
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16
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Noguchi S, Yatera K, Kawanami T, Yamasaki K, Naito K, Akata K, Shimabukuro I, Ishimoto H, Yoshii C, Mukae H. The clinical features of respiratory infections caused by the Streptococcus anginosus group. BMC Pulm Med 2015; 15:133. [PMID: 26502716 PMCID: PMC4624190 DOI: 10.1186/s12890-015-0128-6] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2015] [Accepted: 10/15/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Streptococcus anginosus group (SAG) play important roles in respiratory infections. It is ordinarily difficult to distinguish them from contaminations as the causative pathogens of respiratory infections because they are often cultured in respiratory specimens. Therefore, it is important to understand the clinical characteristics and laboratory findings of respiratory infections caused by the SAG members. The aim of this study is to clarify the role of the SAG bacteria in respiratory infections. METHODS A total of 30 patients who were diagnosed with respiratory infections which were caused by the SAG bacteria between January 2005 and February 2015 were retrospectively evaluated. RESULTS Respiratory infections caused by the SAG were mostly seen in male patients with comorbid diseases and were typically complicated with pleural effusion. Pleural effusion was observed in 22 (73.3%) patients. Empyema was observed in half of the 22 patients with pleural effusion. S. intermedius, S. constellatus and S. anginosus were detected in 16 (53.3 %), 11 (36.7 %) and 3 (10.0 %) patients, respectively. Six patients had mixed-infections. The duration from the onset of symptoms to the hospital visit was significantly longer in "lung abscess" patients than in "pneumonia" patients among the 24 patients with single infections, but not among the six patients with mixed-infection. The peripheral white blood cell counts of the "pneumonia" patients were higher than those of the "lung abscess" patients and S. intermedius was identified significantly more frequently in patients with pulmonary and pleural infections (pneumonia and lung abscess) than in patients with bacterial pleurisy only. In addition, the patients in whom S. intermedius was cultured were significantly older than those in whom S. constellatus was cultured. CONCLUSIONS Respiratory infections caused by the SAG bacteria tended to be observed more frequently in male patients with comorbid diseases and to more frequently involve purulent formation. In addition, S. intermedius was mainly identified in elderly patients with having pulmonary infection complicated with pleural effusion, and the aspiration of oral secretions may be a risk factor in the formation of empyema thoracis associated with pneumonia due to S. intermedius.
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Affiliation(s)
- Shingo Noguchi
- Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan, 1-17-1, Hamamachi, Wakamatsuku, Kitakyushu city, 808-0024, Fukuoka, Japan.
| | - Kazuhiro Yatera
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Toshinori Kawanami
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Kei Yamasaki
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Keisuke Naito
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Kentaro Akata
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Ikuko Shimabukuro
- Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan, 1-17-1, Hamamachi, Wakamatsuku, Kitakyushu city, 808-0024, Fukuoka, Japan.
| | - Hiroshi Ishimoto
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
| | - Chiharu Yoshii
- Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan, 1-17-1, Hamamachi, Wakamatsuku, Kitakyushu city, 808-0024, Fukuoka, Japan.
| | - Hiroshi Mukae
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, 1-1, Iseigaoka, Yahatanishiku, Kitakyushu City, 807-8555, Fukuoka, Japan.
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Garin A, Thierry B, Leboulanger N, Blauwblomme T, Grevent D, Blanot S, Garabedian N, Couloigner V. Pediatric sinogenic epidural and subdural empyema: The role of endoscopic sinus surgery. Int J Pediatr Otorhinolaryngol 2015; 79:1752-60. [PMID: 26304070 DOI: 10.1016/j.ijporl.2015.08.007] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2015] [Revised: 08/02/2015] [Accepted: 08/03/2015] [Indexed: 11/28/2022]
Abstract
AIM To analyze the indications and outcomes of open neurosurgical approaches (ONA) and endoscopic transnasal approaches (ETA) in the surgical management of pediatric sinogenic subdural and epidural empyema. MATERIAL AND METHODS Retrospective single-center study design within a tertiary care referral center setting. Children less than 18 years of age consecutively operated on between January 2012 and February 2014 for drainage of a sinogenic subdural empyema (SE) or epidural (EE) empyema were included. MAIN OUTCOME MEASURES success of first surgical procedure, persistent symptoms and sequelae at the end of the follow-up period. RESULTS Nine SE (53%) and 8 EE (47%) were observed. Neurological symptoms, especially seizures, were more frequent in the SE group. Perioperative pus samples were positive in 67% of the SE group and in 75% of the EE group. The most frequently isolated bacteria belonged to the Streptococcus anginosus group. CT or MR imaging showed that most empyema probably originated from the frontal sinus. However, two cases resulted from an ethmoiditis and one case from a Pott's puffy tumor, without any direct contact with the paranasal sinus. In cases of SE, the most effective surgical technique was ONA with craniotomy. Associated endoscopic sinus drainage was useful for the purpose of bacteriological diagnosis. In cases of EE, effectiveness was noted in both ONA and ETA techniques. In two cases of EE, the ETA procedure encompassed direct drainage of the empyema through the posterior wall of the frontal sinus (Draf III approach). The number of patients successfully treated after a single surgical procedure was higher in the EE group (p=0.05). Regarding outcomes, no mortalities were observed. Persistent disorders at the end of the follow-up period, especially headaches, cognitive, concentration or schooling problems, tended to be more frequent in the SE group than in the EE group (67% vs 29%), and were more commonly observed in cases requiring several surgical procedures (75% vs 12.5%) (p=0.05). DISCUSSION Endoscopic sinus surgery plays a critical role in the surgical management of pediatric sinogenic SE and EE. In cases of small volume EE, the endoscopic approach associated with antibiotherapy may be sufficient to treat the infectious process.
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Affiliation(s)
- A Garin
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - B Thierry
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - N Leboulanger
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - T Blauwblomme
- Pediatric Neurosurgery Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - D Grevent
- Pediatric Radiology Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - S Blanot
- Department of Anesthesiology, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - N Garabedian
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France
| | - V Couloigner
- Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France.
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How an Opportunistic Infection Can Mess with Your Brain and Take Your Breath Away: A Rare Case of Simultaneous Lung and Brain Abscess due to Streptococcus anginosus. Case Rep Infect Dis 2015; 2015:462459. [PMID: 25922772 PMCID: PMC4397419 DOI: 10.1155/2015/462459] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Revised: 03/22/2015] [Accepted: 03/23/2015] [Indexed: 12/03/2022] Open
Abstract
Streptococcus anginosus (S. anginosus) is considered a friendly bug and is a one of many different bacteria that constitute the normal flora of the oral cavity. Nevertheless, it has been infrequently associated with more invasive infections, like lung abscess. It is extremely rare to have multisystemic involvement with S. anginosus group. We present a unique case of pulmonary and brain abscess due to S. anginosus in an immunocompetent patient.
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