title: Streptococcus intermediusCausing Necrotizing Pneumonia in an Immune Competent Female: A Case Report and Literature Review.
abstract: We report a case of a 52-year-old immunocompetent Caucasian female treated for necrotizingStreptococcus intermediuspneumonia and review available literature of similar cases. Our patient presented with respiratory failure and required hospitalization and treatment in the intensive care unit. Moreover, she required surgical drainage of right lung empyema as well as decortication and resection. The review of literature revealed three cases ofS. intermediuspneumonia, one of which was a mortality. Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months. Radiological findings varied from an isolated pleural effusion to systemic disease with the presence of brain abscesses. Immunocompetence appears to correlate well with the overall prognosis. In addition, smoking appears to be an important risk factor forS. intermediuspneumonia. In 2 (50%) of cases, pleural fluid analysis identifiedS. intermedius. In contrast, no organism was found in our patient, necessitating the acquisition of lung tissue sample for the diagnosis. In conclusion, both medical and surgical management are necessary for effective treatment ofS. intermediuspneumonia. The outcome of treatment is good in immunocompetent individuals.
authors.affiliation: Crittenton Hospital, 1101 W. University Drive, 2 South, Rochester, MI 48307, USA.
authors.forename: Faris
authors.identifier: 0000-0003-1835-1899
authors.initials: F
authors.lastname: Hannoodi
authors.affiliation: Crittenton Hospital, 1101 W. University Drive, 2 South, Rochester, MI 48307, USA.
authors.forename: Israa
authors.initials: I
authors.lastname: Ali
authors.affiliation: Crittenton Hospital, 1101 W. University Drive, 2 South, Rochester, MI 48307, USA.
authors.forename: Hussam
authors.initials: H
authors.lastname: Sabbagh
authors.affiliation: Crittenton Hospital, 1101 W. University Drive, 2 South, Rochester, MI 48307, USA.
authors.forename: Sarwan
authors.initials: S
authors.lastname: Kumar