Author:
Saldaña Napoleon González,Bejarano José Iván Castillo,Porras Marte Hernández,de la Garza Eduardo Arias,Gutiérrez Sofia Fortes,Gutiérrez Jose Luis Copado,Olguin Hugo Juarez
Abstract
Abstract
Background
Simultaneous infection in tuberculosis (TB) is rare. The mixed infection between Streptococcus anginosus group (SAG) and M. tuberculosis (MTB) has not been reported in children. The aim of this report was to describe a pediatric case with a pulmonary abscess caused by the duality SAG-MTB co-infection.
Case presentation
An 11-year-old boy with an acute onset of throbbing pain of two-day evolution located in the anterior chest wall. The patient reported a history of fever, cough and rhinorrhea during the last seven days. An anterior chest radiography revealed a heterogenic opacity at the lower right lobe while the lateral projection showed an obliteration at the anterior diaphragmatic insertion. Parenteral Ceftriaxone (100 mg/kg/day) and Dicloxacillin (200 mg/kg/day) was started. The abscess was subsequently drained and analyzed. After a year of follow-up, the patient remained asymptomatic.
Conclusion
This case represents the first reported case of pulmonary co-infection involving MTB and SAG in an immunocompetent pediatric patient.
Publisher
Springer Science and Business Media LLC
Subject
Pulmonary and Respiratory Medicine
Reference14 articles.
1. Schleicher GK, Feldman C. Dual infection with Streptococcus pneumoniae and mycobacterium tuberculosis in HIV-seropositive patients with community acquired pneumonia. Int J Tuberc Lung Dis. 2003;7(12):1207–8.
2. Siqueira JF Jr, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255–73.
3. Faden HS. Infections associated with Streptococcus intermedius in children. Pediatr Infect Dis J. 2016;35(9):1047–8.
4. Noguchi S, Yatera K, Kawanami T, Yamasaki K, Naito K, Akata K, et al. The clinical features of respiratory infections caused by the Streptpcoccus anginosus group. BMC Pulm Med. 2015;15:133.
5. Mukae H, Noguchi S, Naito K, Kawanami T, Yamasaki K, Fukuda K, et al. The importance of oblígate anaerobes and the Streptococcus anginosus group in pulmonary abscess: a clone library analysis using bronchoalveolar lavage fluid. Respiration. 2016;92(2):80–9.
Cited by
4 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