Rigante Donato, Spanu Teresa, Nanni Lorenzo, Tornesello Assunta, Sanguinetti Maurizio, D'Inzeo Tiziana, Stabile Achille, Fadda Giovanni
Department of Pediatric Sciences, Università Cattolica Sacro Cuore, Rome, Italy.
BMC Infect Dis. 2006 Mar 22;6:61. doi: 10.1186/1471-2334-6-61.
Streptococcus intermedius belongs to the Streptococcus anginosus group. It is part of the normal flora of the human mouth, but it can be etiologically associated with deep-site infections.
We present a case of deep neck infection complicating Streptococcus intermedius lymphadenitis, which developed in an immunocompetent 14-year-old boy with a history of recent dental work. The infection was ultimately eradicated by a combined medical and surgical approach.
Our report suggests that combined medical and surgical therapy is essential for the complete resolution of deep infections caused by Streptococcus intermedius. Molecular biological techniques can be useful in guiding the diagnostic investigation and providing insight into the possibility of occult abscesses, which are particularly common with Streptococcus intermedius infections.
中间型链球菌属于咽峡炎链球菌群。它是人类口腔正常菌群的一部分，但在病因上可与深部感染相关。
我们报告一例中间型链球菌淋巴结炎并发深部颈部感染的病例，该病例发生在一名有近期牙科治疗史的14岁免疫功能正常男孩身上。该感染最终通过药物和手术联合治疗得以根除。
我们的报告表明，药物和手术联合治疗对于完全消除由中间型链球菌引起的深部感染至关重要。分子生物学技术有助于指导诊断性检查，并深入了解隐匿性脓肿的可能性，隐匿性脓肿在中间型链球菌感染中尤为常见。
