Streptococcus gordonii empyema: A case report and literature review
Empyema is often caused by Streptococcus anginous species, followed by Streptococcus pneumoniae. The organism Streptococcus gordonii belongs to the Streptococcus mitis group, which rarely causes empyema. We report the case of a 59-year-old man who presented with exertional dyspnea and chest pain on...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-01-01
|
| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250923000173 |
| _version_ | 1797869758665719808 |
|---|---|
| author | Jin-Hao Xu Chia-Yu Chiu Yen-Cheng Yeh Jen-Chih Chen |
| author_facet | Jin-Hao Xu Chia-Yu Chiu Yen-Cheng Yeh Jen-Chih Chen |
| author_sort | Jin-Hao Xu |
| collection | DOAJ |
| description | Empyema is often caused by Streptococcus anginous species, followed by Streptococcus pneumoniae. The organism Streptococcus gordonii belongs to the Streptococcus mitis group, which rarely causes empyema. We report the case of a 59-year-old man who presented with exertional dyspnea and chest pain on the right side. The image obtained showed effusion on the right side. Streptococcus gordonii was recovered from purulent pleural effusion culture. The patient underwent video-assisted thoracoscopic surgery with decortication, pneumolysis and received antibiotics for 13 days.A total of seven cases were analyzed after combining six cases in the literature and our presented case. The majority of Streptococcus gordonii empyema patients were male (six patients, 86%) and empyema on the right side (five patients, 71%). Common risk factors included poor dental hygiene or recent dental procedure (three patients, 43%), diabetes mellitus (three patients, 43%), and smoking (three patients, 43%). Only a few cases developed empyema-related complications, including bacteremia (one patient, 14%) and spleen abscesses (one patient, 14%). Most patients underwent chest tube insertion (seven patients, 100%) and survived without recurrent empyema (six patients, 86%). |
| first_indexed | 2024-04-10T00:17:22Z |
| format | Article |
| id | doaj.art-7817b51793714c42b81bc964f17ab5b1 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-10T00:17:22Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-7817b51793714c42b81bc964f17ab5b12023-03-16T05:04:31ZengElsevierIDCases2214-25092023-01-0131e01693Streptococcus gordonii empyema: A case report and literature reviewJin-Hao Xu0Chia-Yu Chiu1Yen-Cheng Yeh2Jen-Chih Chen3Department of Internal Medicine, Kaohsiung Armed Froces General Hospital, Kaohsiung, Taiwan; Correspondence to: Department of Internal Medicine, Kaohsiung Armed Froces General Hospital, No. 553, Junxiao Rd., Zuoying Dist., Kaohsiung City 813204, Taiwan.Department of Infectious Diseases, The University of Texas Health Science Center at Houston, Houston, TX, USA; Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USADepartment of Internal Medicine, Kaohsiung Armed Froces General Hospital, Kaohsiung, TaiwanDepartment of Surgery, Kaohsiung Armed Froces General Hospital, Kaohsiung, TaiwanEmpyema is often caused by Streptococcus anginous species, followed by Streptococcus pneumoniae. The organism Streptococcus gordonii belongs to the Streptococcus mitis group, which rarely causes empyema. We report the case of a 59-year-old man who presented with exertional dyspnea and chest pain on the right side. The image obtained showed effusion on the right side. Streptococcus gordonii was recovered from purulent pleural effusion culture. The patient underwent video-assisted thoracoscopic surgery with decortication, pneumolysis and received antibiotics for 13 days.A total of seven cases were analyzed after combining six cases in the literature and our presented case. The majority of Streptococcus gordonii empyema patients were male (six patients, 86%) and empyema on the right side (five patients, 71%). Common risk factors included poor dental hygiene or recent dental procedure (three patients, 43%), diabetes mellitus (three patients, 43%), and smoking (three patients, 43%). Only a few cases developed empyema-related complications, including bacteremia (one patient, 14%) and spleen abscesses (one patient, 14%). Most patients underwent chest tube insertion (seven patients, 100%) and survived without recurrent empyema (six patients, 86%).http://www.sciencedirect.com/science/article/pii/S2214250923000173Streptococcus gordoniiEmpyemaStreptococcal infectionDental procedureVideo-assisted thoracoscopic surgery |
| spellingShingle | Jin-Hao Xu Chia-Yu Chiu Yen-Cheng Yeh Jen-Chih Chen Streptococcus gordonii empyema: A case report and literature review IDCases Streptococcus gordonii Empyema Streptococcal infection Dental procedure Video-assisted thoracoscopic surgery |
| title | Streptococcus gordonii empyema: A case report and literature review |
| title_full | Streptococcus gordonii empyema: A case report and literature review |
| title_fullStr | Streptococcus gordonii empyema: A case report and literature review |
| title_full_unstemmed | Streptococcus gordonii empyema: A case report and literature review |
| title_short | Streptococcus gordonii empyema: A case report and literature review |
| title_sort | streptococcus gordonii empyema a case report and literature review |
| topic | Streptococcus gordonii Empyema Streptococcal infection Dental procedure Video-assisted thoracoscopic surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923000173 |
| work_keys_str_mv | AT jinhaoxu streptococcusgordoniiempyemaacasereportandliteraturereview AT chiayuchiu streptococcusgordoniiempyemaacasereportandliteraturereview AT yenchengyeh streptococcusgordoniiempyemaacasereportandliteraturereview AT jenchihchen streptococcusgordoniiempyemaacasereportandliteraturereview |