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Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection
Empyema is often caused by Streptococcus pneumoniae, Staphylococcus aureus, and a variety of gram-negative organisms as well as anaerobes. Streptococcus gordonii (S. gordonii) is among some of the initial colonizers of the periodontal environment that is recognized to cause bacterial endocarditis. H...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615575/ https://www.ncbi.nlm.nih.gov/pubmed/31312538 http://dx.doi.org/10.7759/cureus.4611 |
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author | Farooq, Hafsa Mohammad, Tayyaba Farooq, Amna Mohammad, Qasim |
author_facet | Farooq, Hafsa Mohammad, Tayyaba Farooq, Amna Mohammad, Qasim |
author_sort | Farooq, Hafsa |
collection | PubMed |
description | Empyema is often caused by Streptococcus pneumoniae, Staphylococcus aureus, and a variety of gram-negative organisms as well as anaerobes. Streptococcus gordonii (S. gordonii) is among some of the initial colonizers of the periodontal environment that is recognized to cause bacterial endocarditis. However, there are only a few case reports of S. gordonii causing empyema in the literature. We report the case of a 75-year-old male who presented with coughing up blood-tinged sputum. Physical examination revealed decreased breath sounds in the right lung base. Chest X-ray demonstrated a lower, right-sided, loculated pleural effusion. He underwent ultrasound-guided chest tube placement. The pleural fluid culture grew S. gordonii. He was started on ampicillin/ sulbactam. The follow-up computed tomography (CT) scan showed no significant improvement. Given his inability to improve with antibiotics and chest tube drainage, he was referred to an advanced care center for decortication of lung tissue. |
format | Online Article Text |
id | pubmed-6615575 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-66155752019-07-16 Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection Farooq, Hafsa Mohammad, Tayyaba Farooq, Amna Mohammad, Qasim Cureus Internal Medicine Empyema is often caused by Streptococcus pneumoniae, Staphylococcus aureus, and a variety of gram-negative organisms as well as anaerobes. Streptococcus gordonii (S. gordonii) is among some of the initial colonizers of the periodontal environment that is recognized to cause bacterial endocarditis. However, there are only a few case reports of S. gordonii causing empyema in the literature. We report the case of a 75-year-old male who presented with coughing up blood-tinged sputum. Physical examination revealed decreased breath sounds in the right lung base. Chest X-ray demonstrated a lower, right-sided, loculated pleural effusion. He underwent ultrasound-guided chest tube placement. The pleural fluid culture grew S. gordonii. He was started on ampicillin/ sulbactam. The follow-up computed tomography (CT) scan showed no significant improvement. Given his inability to improve with antibiotics and chest tube drainage, he was referred to an advanced care center for decortication of lung tissue. Cureus 2019-05-07 /pmc/articles/PMC6615575/ /pubmed/31312538 http://dx.doi.org/10.7759/cureus.4611 Text en Copyright © 2019, Farooq et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Farooq, Hafsa Mohammad, Tayyaba Farooq, Amna Mohammad, Qasim Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title | Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title_full | Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title_fullStr | Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title_full_unstemmed | Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title_short | Streptococcus gordonii Empyema: A Rare Presentation of Streptococcus gordonii Infection |
title_sort | streptococcus gordonii empyema: a rare presentation of streptococcus gordonii infection |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615575/ https://www.ncbi.nlm.nih.gov/pubmed/31312538 http://dx.doi.org/10.7759/cureus.4611 |
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