Premium
STREPTOCOCCUS PYOGENES PNEUMONIA WITH ABSCESS FORMATION
Author(s) -
McINTYRE H. D.,
ARMSTRONG J. G.,
MITCHELL C. A.
Publication year - 1989
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1989.tb00255.x
Subject(s) - medicine , chest radiograph , sputum , pneumonia , streptococcus pyogenes , surgery , vomiting , abscess , diarrhea , penicillin , empyema , anesthesia , antibiotics , radiography , tuberculosis , pathology , staphylococcus aureus , biology , bacteria , microbiology and biotechnology , genetics
A 30‐year‐old female with mild asthma presented with high fever, hypotension, pleuritic chest pain, vomiting and diarrhea. Chest radiograph showed consolidation of the right upper lobe, and S. pyogenes was cultured from blood and sputum. Following initial rapid recovery the patient relapsed ten days after antiobiotics were ceased, with rapid development of a large abscess cavity. Clinical improvement occurred following reinstitution of treatment including intravenous penicillin. Progressive radiological resolution eventuated during outpatient follow‐up. This case demonstrates that S. pyogenes pneumonia may occur without an antecedent viral infection or major predisposing condition, cause rapid cavitation despite antiobiotic therapy and resolve satisfactorily with prolonged penicillin therapy.