Korean J Pediatr Infect Dis.  2004 Nov;11(2):202-207. 10.14776/kjpid.2004.11.2.202.

A Case of Group A Streptococcal Pneumonia with Empyema and Pericardial Effusion

Affiliations
  • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. kjhan@olmh.cuk.ac.kr

Abstract

Group A streptococcus, also known as Streptococcus pyogenes, is a common bacterial pathogens of the upper respiratory tract and skin infections in children, but this organism is a less common cause of pneumonia, pericarditis. However, pneumonia that is caused by Streptococcus pyogenes, may be rapidly progressive course with developing severe consequences. It may be focal but often is bilateral and diffuse involvement of lung. Empyema is commonly developed, and pleurocentesis often yields thin, watery fluid that continues to flow out when a chest tube is inserted. Antimicrobial resistance to the β-lactam antibiotics has not been reported against group A streptococci, whereas increasing resistance to the macrolides seems to be directly related to the consumption of specific antimicrobial agent use in the community. Clindamycin resistance is uncommon but does occur. We experienced one case of group A streptoccoccal pneumonia with empyema and pericardial effusion, and treated successfully with amoxicillin-clavulanate, clindamycin and roxithromycin.

Keyword

Group A streptococcus; Streptococcus pyogenes; Empyema; Pericardial effusion

MeSH Terms

Anti-Bacterial Agents
Chest Tubes
Child
Clindamycin
Empyema*
Humans
Lung
Macrolides
Pericardial Effusion*
Pericarditis
Pneumonia*
Respiratory System
Roxithromycin
Skin
Streptococcus
Streptococcus pyogenes
Thoracentesis
Anti-Bacterial Agents
Clindamycin
Macrolides
Roxithromycin
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