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[Community-acquired pneumonia caused by Streptococcus pyogenes: report of one case].
Rev Med Chil. 2008 Dec; 136(12):1564-9.RM

Abstract

During the past two decades there has been a resurgence of invasive group A streptococcal (GAS) infection, specially pneumonia and bacteremia. We report a 35 year-old female previously subjected to a thyroidectomy for a thyroid cancer, 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 .

Authors+Show Affiliations

Departamento de Enfermedades Respiratorias, Pontificia Universidad Catolica de Chile, Santiago, Chile. fsaldias@med.puc.clNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

19350174

Citation

Saldías, Fernando, et al. "[Community-acquired Pneumonia Caused By Streptococcus Pyogenes: Report of One Case]." Revista Medica De Chile, vol. 136, no. 12, 2008, pp. 1564-9.
Saldías F, Yáñez J, Saldías V, et al. [Community-acquired pneumonia caused by Streptococcus pyogenes: report of one case]. Rev Med Chil. 2008;136(12):1564-9.
Saldías, F., Yáñez, J., Saldías, V., & Díaz, O. (2008). [Community-acquired pneumonia caused by Streptococcus pyogenes: report of one case]. Revista Medica De Chile, 136(12), 1564-9. https://doi.org//S0034-98872008001200009
Saldías F, et al. [Community-acquired Pneumonia Caused By Streptococcus Pyogenes: Report of One Case]. Rev Med Chil. 2008;136(12):1564-9. PubMed PMID: 19350174.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Community-acquired pneumonia caused by Streptococcus pyogenes: report of one case]. AU - Saldías,Fernando, AU - Yáñez,Jorge, AU - Saldías,Velia, AU - Díaz,Orlando, Y1 - 2009/03/23/ PY - 2009/4/8/entrez PY - 2009/4/8/pubmed PY - 2010/2/5/medline SP - 1564 EP - 9 JF - Revista medica de Chile JO - Rev Med Chil VL - 136 IS - 12 N2 - During the past two decades there has been a resurgence of invasive group A streptococcal (GAS) infection, specially pneumonia and bacteremia. We report a 35 year-old female previously subjected to a thyroidectomy for a thyroid cancer, 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 . SN - 0034-9887 UR - https://www.unboundmedicine.com/medline/citation/19350174/[Community_acquired_pneumonia_caused_by_Streptococcus_pyogenes:_report_of_one_case]_ L2 - http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200009&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -