Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature

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...

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Main Authors: Zhaorui Zhang, Binbin Xiao, Zhixin Liang
Format: Article
Language:English
Published: BMC 2020-10-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-020-02475-w
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author Zhaorui Zhang
Binbin Xiao
Zhixin Liang
author_facet Zhaorui Zhang
Binbin Xiao
Zhixin Liang
author_sort Zhaorui Zhang
collection DOAJ
description 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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spelling doaj.art-353bac0a9f1640fa84ff09569f48040e2022-12-22T00:48:47ZengBMCJournal of Medical Case Reports1752-19472020-10-011411410.1186/s13256-020-02475-wSuccessful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literatureZhaorui Zhang0Binbin Xiao1Zhixin Liang2Department of Respiratory Medicine, Chinese PLA General HospitalDepartment of Respiratory Medicine, Chinese PLA General HospitalDepartment of Respiratory Medicine, Chinese PLA General HospitalAbstract 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.http://link.springer.com/article/10.1186/s13256-020-02475-wPyopneumothoraxStreptococcus constellatuslinezolidcase reportStreptococcus milleritreatment
spellingShingle Zhaorui Zhang
Binbin Xiao
Zhixin Liang
Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
Journal of Medical Case Reports
Pyopneumothorax
Streptococcus constellatus
linezolid
case report
Streptococcus milleri
treatment
title Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
title_full Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
title_fullStr Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
title_full_unstemmed Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
title_short Successful treatment of pyopneumothorax secondary to Streptococcus constellatus infection with linezolid: a case report and review of the literature
title_sort successful treatment of pyopneumothorax secondary to streptococcus constellatus infection with linezolid a case report and review of the literature
topic Pyopneumothorax
Streptococcus constellatus
linezolid
case report
Streptococcus milleri
treatment
url http://link.springer.com/article/10.1186/s13256-020-02475-w
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AT binbinxiao successfultreatmentofpyopneumothoraxsecondarytostreptococcusconstellatusinfectionwithlinezolidacasereportandreviewoftheliterature
AT zhixinliang successfultreatmentofpyopneumothoraxsecondarytostreptococcusconstellatusinfectionwithlinezolidacasereportandreviewoftheliterature