Journal of Clinical Case Reports

Merlán Hermida Alejandro

Publications

• Case Report
  Empyema Caused by Streptococcus constellatus: Atypical Presentation of a Typical Pneumonia
  Author(s): Merlán Hermida Alejandro and Perdomo Pérez LauraMerlán Hermida Alejandro and Perdomo Pérez Laura
  
  A 27-year-old man, with no known diseases, was admitted to our hospital with respiratory insufficiency and sepsis after 21 days of low-grade fever and non-productive cough without any other symptoms. He was diagnosed with fever of intermediate duration and doxycycline was initiated. An X-ray showed severe pleural effusion and a right lower lobe atelectasis. A pleural effusion sample study revealed an empyema, and an emergent thoracic tube was placed. Five days of empyema sample culture did not show pathological findings; thus, we performed a timeextended culture. After 8 days, Streptococcus constellatus was isolated. We completed 10 days of intravenous empiric treatment followed by oral cephalosporin. The patient required two thoracic drainages; there were no complications. He was completely asymptomatic 3 months after discharge. This report summarises the importance of oral microbiot.. Read More»
  DOI: 10.4172/2165-7920.10001079

  Abstract PDF