바로가기메뉴

본문 바로가기 주메뉴 바로가기

A Case of Empyema Caused by Streptococcus Constellatus

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2009, v.66 no.6, pp.463-466









  • Downloaded
  • Viewed

Abstract

Streptococcus constellatus (S. constellatus) is a commensal microorganism belonging to the “Streptococcus milleri” group, but may cause infections in different locations in immunocompromised patients. The infection of S. constellatus has high mortality and morbidity due to its tendency to cause abscesses in infected patients, which require immediate surgical drainage for effective treatment. We report on a 72-year-old woman with end stage renal disease, who suffered from dyspnea and general weakness that had developed over 7 days. Chest CT showed loculated pleural effusion. S. constellatus was cultured from exudative pleural effusions and confirmed by an analysis of 16S rRNA sequence. The patient was treated with drainage of pleural effusion and piperacillin/tazobactam for 5 weeks.

keywords
Streptococcus constellatus, Streptococcus milleri group, Empyema

Reference

1.

Maskell NA, Davies CW, Nunn AJ, Hedley EL, Gleeson Miller R, et al. U.K. Controlled trial of intrapleural streptokinase for pleural infection. N Engl J Med 2005;352:865-74.

2.

Weightman NC, Barnham MR, Dove M. Streptococcus milleri group bacteraemia in North Yorkshire, England (1989-2000). Indian J Med Res 2004;119 Suppl:164-7.

3.

Kobashi Y, Mouri K, Yagi S, Obase Y, Oka M. Clinical analysis of cases of empyema due to Streptococcus milleri group. Jpn J Infect Dis 2008;61:484-6.

4.

Hocken DB, Dussek JE. Streptococcus milleri as a cause of pleural empyema. Thorax 1985;40:626-8.

5.

Porta G, Rodríguez-Carballeira M, Gómez L, Salavert M, Freixas N, Xercavins M, et al. Thoracic infection caused by Streptococcus milleri. Eur Respir J 1998;12:357-62.

6.

Claridge JE 3rd, Attorri S, Musher DM, Hebert J, Dunbar S. Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus ("Streptococcus milleri group") are of different clinical importance and are not equally associated with abscess. Clin Infect Dis 2001;32:1511-5.

7.

Kanamori S, Kusano N, Shinzato T, Saito A. The role of the capsule of the Streptococcus milleri group in its pathogenicity. J Infect Chemother 2004;10:105-9.

8.

Shinzato T, Saito A. A mechanism of pathogenicity of "Streptococcus milleri group" in pulmonary infection: synergy with an anaerobe. J Med Microbiol 1994;40:118-23.

9.

Molina JM, Leport C, Bure A, Wolff M, Michon C, Vilde JL. Clinical and bacterial features of infections caused by Streptococcus milleri. Scand J Infect Dis 1991;23:659-66.

10.

Jacobs JA, Schot CS, Bunschoten AE, Schouls LM. Rapid species identification of "Streptococcus milleri" strains by line blot hybridization: identification of a distinct 16S rRNA population closely related to Streptococcus constellatus. J Clin Microbiol 1996;34:1717-21.

11.

Brook I, Frazier EH. Aerobic and anaerobic microbiology of empyema: a retrospective review in two military hospitals. Chest 1993;103:1502-7.

12.

Kim YJ, Cha SI, Kwon JS, Yoo SS, Jun HJ, Kim EJ, et al. Treatment results and prognostic factors of complicated parapneumonic effusion and empyema. Tuberc Respir Dis 2007;63:24-30.

13.

Ahn HD, Park JC, Seo JG, Kim JY, Kim SY, Park YS, et al. A case of vertebral osteomyelitis with spinal epidural abscess caused by Streptococcus constellatus. Infect Chemother 2008;40:288-91.

14.

Kim YS, Kim JY, Park SM, Kim SY, Park YS, Seo YH, et al. A case of gas gangrene caused by Streptococcus constellatus. Korean J Med 2008;75:119-21.

Tuberculosis & Respiratory Diseases