Neumonía grave por Streptococcus pyogenes: reporte de un caso / Community-acquired pneumonia caused by Streptococcus pyogenes: report of one case
Rev. méd. Chile
;
136(12): 1564-1569, dic. 2008. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-508910
ABSTRACT
During the past two decades there has been a resurgence ofinvasive group A streptococcal (GAS) infection, specially pneumonia and bacteremia. We report a 35 year-old female previously subjected to a thyroidectomy for a thyroid cáncer, that five days after operation, presented with a severe community-acquired pneumonia caused by Streptococcus pyogenes (Lancefield Group A Streptococcus) that was complicated by acute respiratory failure and septic shock. She was treated with a combination of 3 g/day of cefotaxime and 1.8 g/day of clindamycin with a good clinical response and discharged from the hospital in good conditions. Although this microorganism is an uncommon cause of community-acquired pneumonia, previously healthy individuals may be infected and the clinical course may be fulminant. Patients with invasive GAS infection admitted to ICU have a high mortality rate. Treatment of choice of Group A streptococcal infection is penicillin. However, clindamycin should be added in severe infections.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Choque Séptico
/
Infecções Estreptocócicas
/
Streptococcus pyogenes
/
Pneumonia Bacteriana
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
Chile
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