Neumonía grave por Streptococcus pyogenes: Reporte de un caso
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...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2008
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oai:scielo:S0034-988720080012000092009-03-23Neumonía grave por Streptococcus pyogenes: Reporte de un casoSaldías P,FernandoYáñez V,JorgeSaldías H,VeliaDíaz P,Orlando Clindamycin pneumonia, bacterial Streptococcus pyogenes 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 .info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.12 20082008-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200009es10.4067/S0034-98872008001200009 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Clindamycin pneumonia, bacterial Streptococcus pyogenes |
| spellingShingle |
Clindamycin pneumonia, bacterial Streptococcus pyogenes Saldías P,Fernando Yáñez V,Jorge Saldías H,Velia Díaz P,Orlando Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| description |
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 . |
| author |
Saldías P,Fernando Yáñez V,Jorge Saldías H,Velia Díaz P,Orlando |
| author_facet |
Saldías P,Fernando Yáñez V,Jorge Saldías H,Velia Díaz P,Orlando |
| author_sort |
Saldías P,Fernando |
| title |
Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| title_short |
Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| title_full |
Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| title_fullStr |
Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| title_full_unstemmed |
Neumonía grave por Streptococcus pyogenes: Reporte de un caso |
| title_sort |
neumonía grave por streptococcus pyogenes: reporte de un caso |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2008 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001200009 |
| work_keys_str_mv |
AT saldiaspfernando neumoniagraveporstreptococcuspyogenesreportedeuncaso AT yanezvjorge neumoniagraveporstreptococcuspyogenesreportedeuncaso AT saldiashvelia neumoniagraveporstreptococcuspyogenesreportedeuncaso AT diazporlando neumoniagraveporstreptococcuspyogenesreportedeuncaso |
| _version_ |
1718436417083801600 |