title: Pleural empyema due to group A beta-hemolytic streptococci in a newborn: case report.
abstract: Pleural empyema is a rare and serious complication of pneumonia. Although it is frequently seen in children, there are only a few reports about pleural empyema in newborn infants. Here we report a case of early onset neonatal pneumonia complicated with pleural empyema. The causal microorganism was group A beta-hemolytic streptococci (GAS or Streptococcus pyogenes) presumably originating from the mother, who had a puerperal infection. The mother had fever, pelvic pain, and abnormal vaginal discharge two days after delivery and subsequent increase in the antistreptolysin O titer, suggesting streptococcus infection. The patient was successfully treated by pleural drainage in addition to synergistic antimicrobial therapy.
authors.affiliation: Clinic of Neonatology, Dr. Sami Ulus Maternity and Children Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors.forename: Sara
authors.initials: S
authors.lastname: Erol
authors.forename: Dilek
authors.initials: D
authors.lastname: Dilli
authors.forename: Banu
authors.initials: B
authors.lastname: Aydın
authors.forename: Nurdan
authors.initials: N
authors.lastname: Dinlen
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Zenciroğlu
authors.forename: Nurullah
authors.initials: N
authors.lastname: Okumuş
mesh_terms: D004322:Drainage / Q000009:adverse effects; D016724:Empyema, Pleural / Q000175:diagnosis* / Q000209:etiology; D005334:Fever; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis*; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*