title: Primary lung abscess caused by multidrug-nonsusceptible Streptococcus pneumoniae in a child.
abstract: We report a 21-month-old boy with primary lung abscess caused by multidrug-nonsusceptible Streptococcus pneumoniae. A computed tomography-guided aspirate obtained on admission grew penicillin-, ceftriaxone-, erythromycin- and clindamycin-nonsusceptible S. pneumoniae. The patient was treated for 10 days with parental rifampin and cefotaxime and then for 4 weeks with oral cefpodoxime and recovered without complications.
authors.affiliation: Department of Pediatrics, Naval Medical Center, Charette Health Care Center 4th Floor, Rm. 461003, Wing 4N/P, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA. aholston@mar.med.navy.mil
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Holston
authors.forename: James R
authors.initials: JR
authors.lastname: Miller
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology* / Q000627:therapeutic use; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D007223:Infant; D008169:Lung Abscess / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008826:Microbial Sensitivity Tests; D011018:Pneumonia, Pneumococcal / Q000188:drug therapy / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000187:drug effects*
chemical_list: D000900:Anti-Bacterial Agents