دورية أكاديمية
COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD
| العنوان: | COMPLICATED PNEUMONIA WITH EMPYEMA CAUSED BY STREPTOCOCCUS ANGINOSUS IN A CHILD |
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| المؤلفون: | Ana Reis-Melo, Diana Soares, Manuel Ferreira Magalhães, Catarina Ferraz, Luísa Vaz |
| المصدر: | Revista Paulista de Pediatria, Vol 38 (2020) |
| بيانات النشر: | Sociedade de Pediatria de São Paulo, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Pediatrics |
| مصطلحات موضوعية: | Bacterial pneumonia, Pleural empyema, Streptococcus anginosus, Video-assisted thoracic surgery, Pediatrics, RJ1-570 |
| الوصف: | ABSTRACT Objective: To highlight the pathogenicity of Streptococcus anginosus, which is rare in pediatric patients, but can cause severe infections that are known to have a better outcome when treated early with interventional procedures and prolonged antibiotic therapy. Case description: The patient is a 6-year-old boy with global developmental delay, examined in the emergency room due to fever and respiratory distress. The physical examination and diagnostic workout revealed complicated pneumonia with empyema of the left hemithorax; he started antibiotic therapy and underwent thoracic drainage. Pleural fluid cultures grew Streptococcus anginosus. On day 11, the child had a clinical deterioration with recurrence of fever, hypoxia, and respiratory distress. At this point, considering the causative agent, he was submitted to video-assisted thoracoscopic decortication, with good progress thereafter. Comments: Streptococcus anginosus is a commensal bacterium of the human oral cavity capable of causing severe systemic infections. Although reports of complicated thoracic infections with this agent are rare in the pediatric population, they have been increasing in adults. Streptococcus anginosus has a high capacity to form abscess and empyema, requiring different therapeutic approaches when compared to complicated pneumonia caused by other agents. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Spanish; Castilian Portuguese |
| تدمد: | 1984-0462 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100608&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100608&tlng=pt; https://doaj.org/toc/1984-0462 |
| DOI: | 10.1590/1984-0462/2020/38/2018258 |
| URL الوصول: | https://doaj.org/article/f05037b07f794847a3f44d252df05460 |
| رقم الأكسشن: | edsdoj.f05037b07f794847a3f44d252df05460 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19840462 |
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| DOI: | 10.1590/1984-0462/2020/38/2018258 |