Isolated Streptococcus intermedius pulmonary nodules. (2017)

• Record Type: Journal Article
• Authors: Catalya, Stephen; Komal, Bushra; Tulpule, Sunil; Raoof, Nazar; Sen, Shuvendu
• Is Part Of: IDCases. Volume 8(2017)
• Page Start: 48
• Page End: 49
• Publication Date: 2017
• Subjects: Lung nodule -- Streptococcus intermedius -- Chest pain -- Alcohol abuse -- Pneumonia; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2017.03.007
• Languages: English
• ISSNs: 2214-2509

Abstract

Highlights: S. intermedius infections can have extended hospital stays, but did not occur here. Abscess/empyema formation, typical in S. intermedius infection, did not occur here. A unique demographic of S. intermedius infection is shown, compared to literature. Abstract: Streptococcus intermedius, a member of the Streptococcal anginosus group of alpha-hemolytic streptococci, remains a notable infectious agent causing necrotizing pneumonia and abscesses. We report a case of a young male with pulmonary nodules found to have Streptococcus intermedius and no other underlying hepatic or dental history who was treated with ceftriaxone and avoided surgical intervention. A review of the literature reveals cases that are typically treated with a combined surgical and medical approach. These same cases often involve middle aged to elderly individuals who have a past history of tobacco use, alcoholic liver cirrhosis and/or poor dentition. This case stands out given the patient's atypical presentation.