Author:
Yang Hong-Hong,Li Mei,Yu Qing,Liu Qian,Liu Min
Abstract
Abstract
Background
Empyema caused by Streptococcus constellatus (S. constellatus) is rare in patients with HIV. To analyze the clinical data of a patient living with HIV (PLHIV), who got empyema caused by S. constellatus, investigating the diagnosis and treatment of this disease through literature review to improve the clinical understanding of this disease.
Case presentation
We have reported here a 58-year-old male PLHIV with cough, wheezing, and fever for 20 days. He has a history type 2 diabetes, alcohol abuse, and a teeth extracted. Chest computed tomography revealed multiple encapsulated pleural effusions, pneumatosis, and partial compressive atelectasis in the right lung. Submission of pleural efusions timely, and then cultures revealed S. constellatus. After comprehensive treatment, including antibiotics, closed pleural drainage, and intrapleural injection of urokinase, the pleural efusion was absorbed, and chest computed tomography also confirmed the improvement.
Conclusions
S. constellatus should not be neglected as a pus pathogen in patients with HIV. comprehensive treatment is important for empyema of S. constellatus.
Publisher
Springer Science and Business Media LLC
Reference23 articles.
1. Lee P. Empyema: a debilitating condition that warrants further research. Respirology. 2019;24(2):101–2.
2. Burgos J, Falcó V, Pahissa A. The increasing incidence of empyema. Curr Opin Pulm Med. 2013;19(4):350–6.
3. Noguchi S, Yatera K, Kawanami T, Yamasaki K, Naito K, Akata K. Et. Al. The clinical features ofrespiratory Infections caused by the Streptococcus anginosus group. BMC Pulm Med. 2015;26:15.
4. Sahin S, Yazar U, Cansu A, Kul S, Kaya S, Ozdogan EB. Is sinusitis innocent?--unilateral subdural empyema in an immunocompetent child. Indian J Pediatr. 2015;82(11):1061–4.
5. Ye RH, Yang JC, Hong HH, Mao YP, Zhu YH, Cao Y, et al. Descending necrotizing mediastinitis caused by Streptococcus constellatus in an immunocompetent patient: case report and review of the literature. BMC Pulm Med. 2020;20(1):43.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献