Open AccessStreptococcus anginosus Empyema Induced by Dental Abscess: A Case Report
Author(s) -
Ishan Patel,
Steven Douedi,
Shraddhadevi Makadia,
Vandan Upadhyaya,
Arda Akoluk,
Jennifer Douedi,
Mohammad A. Hossain,
Edward Liu
Publication year - 2020
Publication title -
journal of medical cases
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1923-4163
pISSN - 1923-4155
DOI - 10.14740/jmc3547
Subject(s) - streptococcus anginosus , medicine , empyema , streptococcus pneumoniae , surgery , antibiotics , microbiology and biotechnology , streptococcus , bacteria , genetics , biology
Streptococcus anginosus is a gram-positive catalase-negative cocci and commensal flora of the oropharynx and gastrointestinal tract. Streptococcus anginosus is known to be highly virulent and known to cause invasive pyogenic infection which may necessitate emergent surgical treatment. We present a case of a 53-year-old female with dental caries and uncontrolled diabetes mellitus who presented with progressive shortness of breath for 1 week. A computed tomography scan of the chest showed a loculated empyema which was treated with emergent video-assisted thoracoscopic surgery. Pleural fluid culture as well as sputum cultures grew Streptococcus anginosus . The patient was treated intravenous cephalosporins and discharged on oral antibiotics after 14 days with outpatient dental follow-up and improvement of symptoms.