Ito Yuhei, Toyoshima Hirokazu, Suzuki Takehiro, Iwamoto Keisuke, Sasano Hajime, Itani Hidetoshi, Kondo Shigeto, Tanigawa Motoaki
Department of Respiratory Medicine, Ise Red Cross Hospital, Ise, Japan.
Infectious Diseases Department of Internal Medicine, Ise Red Cross Hospital, Ise, Japan.
Respir Med Case Rep. 2017 Dec 20;23:71-73. doi: 10.1016/j.rmcr.2017.11.010. eCollection 2018.
Lung abscess has been considered to be a rare complication of pneumococcal infection, and most cases are reported to be serotype 3. A 67-year-old man presented with fever and was diagnosed to have lung abscess caused by serotype 6B. The minimal inhibitory concentration (MIC) of penicillin for the isolate was 1 μg/mL. He was treated with high-dose intravenous sulbactam/ampicillin as definitive therapy based on susceptibility testing for and recovered successfully without surgical intervention. serotype 6B can cause lung abscess.
肺脓肿一直被认为是肺炎球菌感染的一种罕见并发症,据报道大多数病例为3型血清型。一名67岁男性因发热就诊,被诊断为由6B型血清型引起的肺脓肿。该分离株对青霉素的最低抑菌浓度(MIC)为1μg/mL。根据药敏试验,给予大剂量静脉注射舒巴坦/氨苄西林作为确定性治疗,患者未经手术干预成功康复。6B型血清型可引起肺脓肿。