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[星座链球菌作为脓胸的病原体。1例报告]

[Streptococcus constellatusas a causative agent of empyema. Report of one case].

作者信息

Díaz Peromingo José Antonio, Sánchez Leira Joaquín, García Suárez Florinda, Padín Paz Emilio, Saborido Froján Juan

机构信息

Servicio de Medicina Interna, Hospital da Barbanza, Riveira A Coruña, España.

出版信息

Rev Med Chil. 2006 Aug;134(8):1030-2. doi: 10.4067/s0034-98872006000800013. Epub 2006 Nov 14.

Abstract

Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations. We report a 59 years old male with severe sequelae of a previous cerebrovascular accident that consulted in the emergency room for fever of 15 days of evolution. A right empyema was diagnosed. The bacteriological culture of the effusion disclosed the presence of Streptococcus constellatus and two anaerobic strains (Prevotella intermedia and Fusobacterium urealyticus). The patient was treated with a pleural drainage and received ceftriaxone and clindamycin during six weeks. He was discharged in good conditions and is asymptomatic after eight months of follow up.

摘要

星座链球菌是人类的共生微生物,但可能在不同部位引起感染。我们报告一例59岁男性,既往有严重脑血管意外后遗症,因发热15天前来急诊室就诊。诊断为右侧脓胸。胸腔积液的细菌培养显示存在星座链球菌和两种厌氧菌(中间普雷沃菌和解脲梭杆菌)。患者接受了胸腔引流治疗,并接受了六周的头孢曲松和克林霉素治疗。他出院时情况良好,随访八个月后无症状。

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