Ramírez Carolina, Arab Juan Pablo, Eymin Gonzalo
Departamento de Medicina Interna, Hospital Clínico de la Pontificia, Universidad Católica de Chile.
Rev Med Chil. 2010 Jul;138(7):847-51. doi: 10.4067/s0034-98872010000700009.
We report a 58-year-old female presenting with fever and vomiting. The initial laboratory examination disclosed two blood cultures that were positive for Streptococcus Pyogenes. An abdominal CAT scan showed a right basal pneumonia. The patient was treated with antimicrobials and discharged with oral cefadroxil for 21 days. One month after discharge she was asymptomatic and with a normal C reactive protein. Pneumonia is an important differential diagnosis in unknown origin bacteremia caused by Streptococcus Pyogenes. It may have a fulminant evolution and may complicate with abscess and empyema.
我们报告了一名58岁发热伴呕吐的女性患者。初始实验室检查显示两份血培养结果为化脓性链球菌阳性。腹部计算机断层扫描显示右肺底肺炎。患者接受了抗菌药物治疗,并口服头孢羟氨苄出院,疗程21天。出院后一个月,她无症状,C反应蛋白正常。肺炎是化脓性链球菌引起的不明原因菌血症的重要鉴别诊断。它可能呈暴发性进展,并可能并发脓肿和脓胸。