Mvelase Nomonde R, Marajh Kanitha, Hattingh Olga, Mlisana Koleka P
Department of Medical Microbiology, University of Kwazulu-Natal, 800 Bellair Road, Mayville, Durban, South Africa; National Health Laboratory Service, 1 Modderfontein Road, Sandringham, Johannesburg, South Africa.
National Health Laboratory Service , 1 Modderfontein Road, Sandringham, Johannesburg , South Africa.
JMM Case Rep. 2016 Oct 27;3(5):e005058. doi: 10.1099/jmmcr.0.005058. eCollection 2016 Oct.
Nutritionally variant streptococci (NVS) are an infrequent cause of human infection with being the least encountered species in clinical specimens. The most common infection caused by NVS is infective endocarditis.
We report an unusual case of thoracic empyema due to in a patient with pulmonary tuberculosis (TB) and human immunodeficiency virus infection. The patient responded favourably to drainage and penicillin.
This case illustrates that even though TB is responsible for the majority of pleural effusions in this setting, other rare opportunistic bacteria may cause infection in susceptible patients. Therefore, microbiological investigations should be performed in all patients presenting with pleural effusion.
营养变异型链球菌（NVS）是人类感染的罕见病因，是临床标本中最不常见的菌种。NVS引起的最常见感染是感染性心内膜炎。
我们报告了一例因NVS导致的胸腔积脓罕见病例，患者患有肺结核（TB）和人类免疫缺陷病毒感染。患者经引流和青霉素治疗后反应良好。
该病例表明，尽管在这种情况下TB是大多数胸腔积液的病因，但其他罕见的机会性细菌可能在易感患者中引起感染。因此，所有出现胸腔积液的患者均应进行微生物学检查。
