化脓性链球菌引起的双侧肺脓肿：纤维支气管镜检查的诊断重要性

Bilateral pulmonary abscesses caused by Streptococcus pyogenes: diagnostic importance of fiberoptic bronchoscopy.

作者信息

Clementsen P, Milman N

机构信息

Department of Pulmonary Medicine, Gentofte Hospital, University of Copenhagen, Denmark.

出版信息

Scand J Infect Dis. 1994;26(6):755-7. doi: 10.3109/00365549409008647.

DOI:10.3109/00365549409008647

PMID:7747102

Abstract

A patient with bilateral pulmonary abscesses caused by Streptococcus pyogenes is described. This bacterium is an uncommon cause of pneumonia. Metastatic foci of infection, e.g. abscess formation, may follow bacteremic spread of S. pyogenes. However, such complications are rare and the occurrence of bilateral pulmonary abscesses has not been described earlier. In the present case the diagnosis was established by fiberoptic bronchoscopy with bronchial washing.

摘要

本文描述了一名由化脓性链球菌引起双侧肺脓肿的患者。这种细菌是肺炎的罕见病因。感染的转移病灶，如脓肿形成，可能继发于化脓性链球菌的菌血症传播。然而，此类并发症很少见，双侧肺脓肿的发生此前尚未见报道。在本病例中，通过纤维支气管镜检查及支气管灌洗确立了诊断。