Department of Clinical Laboratory, Hyogo Prefectural Kobe Children's Hospital, Japan.
Division of Infectious Disease, Department of Pediatrics, Hyogo Prefectural Kobe Children's Hospital, Japan.
J Infect Chemother. 2022 Mar;28(3):437-439. doi: 10.1016/j.jiac.2021.11.002. Epub 2021 Nov 16.
We report the case of an immunocompetent 6-month-old boy with a lung abscess and empyema caused by Streptococcus intermedius detected only from anaerobic cultures. Invasive S. intermedius infection in infants is rare. S. intermedius has been infrequently reported as a causative microorganism of lung abscess and empyema as most of the S. intermedius infections in children have been head and neck infections. While anaerobic cultures are often not performed for infant patients, we suggest the need for these cultures, including blood cultures, especially in cases of pediatric empyema, brain abscess, and liver abscess, which can be caused by S. intermedius.
我们报告了一例免疫功能正常的 6 月龄男婴，其仅通过厌氧培养检测到中间链球菌导致肺脓肿和脓胸。侵袭性中间链球菌感染在婴儿中较为罕见。中间链球菌作为肺脓肿和脓胸的病原体较为少见，因为大多数儿童的中间链球菌感染为头颈部感染。虽然通常不对婴儿患者进行厌氧培养，但我们建议需要进行这些培养，包括血培养，特别是在由中间链球菌引起的小儿脓胸、脑脓肿和肝脓肿的情况下。
