Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Empyema Caused by Streptococcus Constellatus

Streptococcus Constellatus에 의한 농흉 1예

  • Ryu, Yong Suc (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Lee, Jae Hyung (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Lee, Byung Hoon (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Kim, Sang Hoon (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Yang, Dong Jin (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Ryu, Sang Ryol (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Yu, Yun Hwa (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Cheong, Mi Youn (Department of Internal Medicine, Eulji Hospital, Eulji University College of Medicine) ;
  • Chae, Jeong Don (Department of Laboratory Medicine, Eulji Hospital, Eulji University College of Medicine)
  • 류용석 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 이재형 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 이병훈 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 김상훈 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 양동진 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 류상렬 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 유연화 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 정미연 (을지대학교 의과대학 을지병원 호흡기내과학교실) ;
  • 채정돈 (을지대학교 의과대학 을지병원 진단검사의학과교실)
  • Received : 2009.05.07
  • Accepted : 2009.06.08
  • Published : 2009.06.30
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Abstract

Streptococcus constellatus (S. constellatus) is a commensal microorganism belonging to the "Streptococcus milleri" group, but may cause infections in different locations in immunocompromised patients. The infection of S. constellatus has high mortality and morbidity due to its tendency to cause abscesses in infected patients, which require immediate surgical drainage for effective treatment. We report on a 72-year-old woman with end stage renal disease, who suffered from dyspnea and general weakness that had developed over 7 days. Chest CT showed loculated pleural effusion. S. constellatus was cultured from exudative pleural effusions and confirmed by an analysis of 16S rRNA sequence. The patient was treated with drainage of pleural effusion and piperacillin/tazobactam for 5 weeks.

S. constellatus는 Streptococcus milleri group을 이루는 균이며 상부호흡기계, 비뇨기계 등에 정상 상재균으로 존재하다 면역저하 상태에서 기회감염을 일으키며 주로 농을 형성하는 것으로 알려져 있다. 저자들은 혈액투석을 받는 환자에게 발생한 S. constellatus에 의한 농흉 1예를 경험하였기에 문헌고찰과 함께 보고한다. 본 증례를 통해 면역이 저하된 환자에게 농흉이 형성된 경우 S. constellatus에 의한 감염을 생각해볼 수 있으며 이와 같은 경우 세균학적 검사 결과에 따른 항생제 치료와 함께 수술적 배농을 고려해야 한다는 것을 경험하였다.

Keywords

References

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  1. 정신지체환자에서 발생한 Streptococcus constellatus와 혐기성 균에 의한 거대 농흉 1예 vol.71, pp.6, 2011, https://doi.org/10.4046/trd.2011.71.6.476