COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD
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 pat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade de Pediatria de São Paulo
2020-03-01
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| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100608&tlng=en |
| _version_ | 1811275491642966016 |
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| author | Ana Reis-Melo Diana Soares Manuel Ferreira Magalhães Catarina Ferraz Luísa Vaz |
| author_facet | Ana Reis-Melo Diana Soares Manuel Ferreira Magalhães Catarina Ferraz Luísa Vaz |
| author_sort | Ana Reis-Melo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T23:38:46Z |
| format | Article |
| id | doaj.art-f05037b07f794847a3f44d252df05460 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-04-12T23:38:46Z |
| publishDate | 2020-03-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-f05037b07f794847a3f44d252df054602022-12-22T03:12:03ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622020-03-013810.1590/1984-0462/2020/38/2018258COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILDAna Reis-Melohttps://orcid.org/0000-0003-2584-4296Diana Soareshttps://orcid.org/0000-0003-0589-0658Manuel Ferreira Magalhãeshttps://orcid.org/0000-0001-9477-8822Catarina Ferrazhttps://orcid.org/0000-0001-7835-3402Luísa Vazhttps://orcid.org/0000-0001-8498-9394ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100608&tlng=enBacterial pneumoniaPleural empyemaStreptococcus anginosusVideo-assisted thoracic surgery |
| spellingShingle | Ana Reis-Melo Diana Soares Manuel Ferreira Magalhães Catarina Ferraz Luísa Vaz COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD Revista Paulista de Pediatria Bacterial pneumonia Pleural empyema Streptococcus anginosus Video-assisted thoracic surgery |
| title | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
| title_full | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
| title_fullStr | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
| title_full_unstemmed | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
| title_short | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
| title_sort | complicated pneumonia with empyema caused by streptococcus anginosus in a child |
| topic | Bacterial pneumonia Pleural empyema Streptococcus anginosus Video-assisted thoracic surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100608&tlng=en |
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