Nishida Tomoki, Ohnishi Takahisa, Kakutani Takuya, Yamaguchi Nobuo, Kanemaru Takayuki, Takenoue Tomohiro, Fukai Ryuta, Inoue Kazuto
Department of General Thoracic Surgery, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa Prefecture, Japan.
Department of General Surgery, Yamato Tokushukai Hospital, 4-4-12 Chuo, Yamato, Kanagawa Prefecture, Japan.
IDCases. 2023 Jul 8;33:e01848. doi: 10.1016/j.idcr.2023.e01848. eCollection 2023.
Bilateral empyema is a rare and severe condition and deciding on a treatment is quite difficult. Additionally, infections caused by group A (GAS []) are known to be invasive. We successfully treated without surgery a previously healthy 59-year-old woman with bilateral empyema due to GAS, with repeated drainages, antibiotics, and fibrinolytic therapy. To our knowledge, there have not been any published reports on cases of bilateral empyema due to GAS infection. In rare, severe cases of bilateral empyema caused by organisms such as GAS, physicians managing the condition should consider the overall condition of the patient.
双侧脓胸是一种罕见且严重的病症，治疗方案的抉择颇具难度。此外，已知A组（A组链球菌[GAS]）引起的感染具有侵袭性。我们成功地对一名先前健康的59岁女性双侧脓胸患者进行了非手术治疗，该患者由A组链球菌引起双侧脓胸，治疗方法包括反复引流、使用抗生素以及纤维蛋白溶解疗法。据我们所知，此前尚无关于A组链球菌感染导致双侧脓胸病例的公开报道。对于由A组链球菌等病原体引起的罕见、严重双侧脓胸病例，负责治疗的医生应考虑患者的整体状况。
