Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Massive Empyema Caused by Streptococcus constellatus and Anaerobic Bacteria for Mental Retardation

정신지체환자에서 발생한 Streptococcus constellatus와 혐기성 균에 의한 거대 농흉 1예

  • Kim, Kyeong-Hyun (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Kim, Se-Hyun (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Heo, Jeong-Won (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Lee, Sang-Hoon (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Han, Seon-Sook (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Lee, Seoung-Joon (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine) ;
  • Kim, Woo-Jin (Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine)
  • 김경현 (강원대학교 의과대학 내과학교실) ;
  • 김세현 (강원대학교 의과대학 내과학교실) ;
  • 허정원 (강원대학교 의과대학 내과학교실) ;
  • 이상훈 (강원대학교 의과대학 내과학교실) ;
  • 한선숙 (강원대학교 의과대학 내과학교실) ;
  • 이승준 (강원대학교 의과대학 내과학교실) ;
  • 김우진 (강원대학교 의과대학 내과학교실)
  • Received : 2011.06.16
  • Accepted : 2011.07.21
  • Published : 2011.12.30
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Abstract

The Streptococcus milleri group, which also includes S. anginosus, S. intermedius and S. constellatus, is found in the oropharynx, upper respiratory tract, gastrointestinal tract, and urogenital tract mucosa. Bacteria in the Streptococcus milleri group are associated with bacteremia and abscess formation. Most of the reports of of Streptococcus milleri group (SMG) infection occur in patients with underlying medical conditions. Predisposing factors that have been associated with S. milleri group empyema include mucosal disturbances (sinusitis, periodontal disease, enteric disease), preceding to pneumonia, thoracic surgery, malignancy, neurological disease, alcohol abuse, and also diabetes mellitus. We report on a 42-year-old man with mental retardation. He who suffered from dyspnea and a fever that he had developed for over 14 days. S. constellatus and anaerobic bacterias (Prevotella buccae and Micromonas micros) were cultured. The patient was treated with the drainage of pleural effusion and clindamycin and levofloxacin.

Keywords

References

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