Mediastinitis and Thoracic Empyema Caused by Streptococcus constellatus

Saracho, J. Ortiz de; Barbancho, S.; Mostaza, José Luis

doi:10.1016/s1579-2129(06)60382-0

Archivos de Bronconeumología ((English Edition))

2004

DOI: 10.1016/s1579-2129(06)60382-0

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Mediastinitis and Thoracic Empyema Caused by Streptococcus constellatus

J. Ortiz de Saracho¹,

S. Barbancho²,

José Luis Mostaza

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Cited by 2 publications

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“…Isolating the causative microorganism can guide the antibiotic therapy where the antibiotic susceptibility testing is not available. (4,5). Str.…”

mentioning

confidence: 99%

INTERACTIVE CASE REPORT: A Case of Thoracic Empyema due to Streptococcus constellatus

Chouseın¹,

Iliaz²,

Öztürk³

et al. 2016

Respir Case Rep

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Atmış bir yaşında konjenital nörolojik defisitli, mental retarde erkek hasta, bir haftadır olan öksürük, hırıltılı solunum, ateş, ajitasyonla başvurdu. Yatırılarak plöropnömoni ve solunum yetmezliği tanıları ile ampirik antibiyotik, bronkodilatör ve oksijen tedavisi başlandı. Torasentez ile ampiyem niteliğinde sıvı alındı, kapalı tüp torakostomi uygulandı. Ağız bakımının yapılmadığı öğrenilen hastada sıvıda Streptococcus constellatus izole edildi. O güne kadar kliniği ve enfeksiyon göstergeleri düzelmeyen hastanın tedavisinin değiştirilmesi planlandı. Literatürler ışığında etkenin betalaktam inhibitörleri, makrolidler ve metronidazol gibi ajanlara dirençli olabileceği göz önüne alınarak antibiyoterapisi değiştirildi. Olgu; genel durumunun düzelmesi, enfeksiyon göstergelerinin düşmesi, sıvının azaldığının görülmesi, kültürünün negatifleşmesi, tüpünün çekilmesi sonrasında kontrole gelmek üzere taburcu edildi. Nörolojik defisitli hastalarda ağız hijyeni yapılmadığında; normalde patojen olmayan Streptococcus constellatus gibi mikroorganizmaların mortal seyreden ampiyem gibi tablolara yol açabileceğini, elimizde bir antibiyogram olmasa da etkenin izolasyonunun uygun antibiyotik seçimi konusunda bize yol gösterebileceğini hatırlatmak amacı ile olgumuzu sunmaktayız.

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“…Isolating the causative microorganism can guide the antibiotic therapy where the antibiotic susceptibility testing is not available. (4,5). Str.…”

mentioning

confidence: 99%

INTERACTIVE CASE REPORT: A Case of Thoracic Empyema due to Streptococcus constellatus

Chouseın¹,

Iliaz²,

Öztürk³

et al. 2016

Respir Case Rep

View full text Add to dashboard Cite

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The Clinical Features and Management of Empyema Caused by Streptococcus constellatus

Lin¹,

Bao²,

Lu³

et al. 2022

IDR

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Background Streptococcus constellatus , a commensal, plays an important role in purulent infections. It has been reported as aggressive pathogen causing pleural empyema. But the role of S. constellatus in empyema has not been taken seriously. There are no studies about clinical characteristics of empyema caused by S. constellatus domestically and abroad. This study aimed to explore the clinical features and management of empyema caused by S. constellatus . Methods A retrospective review of 9 patients diagnosed with empyema caused by S. constellatus in a hospital between January 2010 and August 2021 was performed. Results S. constellatus empyema were mostly seen in old males (66.7%) with comorbid diseases. The high-risk factors include diabetes mellitus, oral infection, and oral surgery. All were unilateral encapsulated empyema (right-side, 55.6%), diagnosed with pneumonia (bilateral pneumonia, 88.9%; ipsilateral lung abscess, 44.4%). 33.3% of patients had S. constellatus and anaerobes co-isolated. S. constellatus were sensitive to penicillin G, linezolid, levofloxacin, vancomycin, ceftriaxone, and chloramphenicol, resistant to erythromycin, tetracycline, and clindamycin. 33.3% of the patients needed ventilator support. The primary treatment to S. constellatus empyema was timely pus drainage, intravenous antibiotics, and enough nutrition support, intrapleural fibrinolytics and surgery (VAST recommended first) in necessity. Conclusion S. constellatus may cause pneumonia and lung abscess first and then spread to cause empyema mainly in old males with comorbid diseases. S. constellatus often co-isolated with anaerobes in empyema. Antibiotics should cover simultaneously both S. constellatus and anaerobes.

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Mediastinitis and Thoracic Empyema Caused by Streptococcus constellatus

Cited by 2 publications

References 6 publications

INTERACTIVE CASE REPORT: A Case of Thoracic Empyema due to Streptococcus constellatus

INTERACTIVE CASE REPORT: A Case of Thoracic Empyema due to Streptococcus constellatus

The Clinical Features and Management of Empyema Caused by Streptococcus constellatus

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