title: A Community-acquired Lung Abscess Attributable to Streptococcus pneumoniae which Extended Directly into the Chest Wall.
abstract: We herein report the case of 75-year-old Japanese female with a community-acquired lung abscess attributable to Streptococcus pneumoniae (S. penumoniae) which extended into the chest wall. The patient was admitted to our hospital with a painful mass on the left anterior chest wall. A contrast-enhanced chest computed tomography scan showed a lung abscess in the left upper lobe which extended into the chest wall. Surgical debridement of the chest wall abscess and percutaneous transthoracic tube drainage of the lung abscess were performed. A culture of the drainage specimen yielded S. pneumoniae. The patient showed a remarkable improvement after the initiation of intravenous antibiotic therapy.
authors.affiliation: Department of Respiratory Medicine, Iizuka Hospital, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ko
authors.forename: Kazunori
authors.initials: K
authors.lastname: Tobino
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Yasuda
authors.forename: Takuto
authors.initials: T
authors.lastname: Sueyasu
authors.forename: Saori
authors.initials: S
authors.lastname: Nishizawa
authors.forename: Kouhei
authors.initials: K
authors.lastname: Yoshimine
authors.forename: Miyuki
authors.initials: M
authors.lastname: Munechika
authors.forename: Mina
authors.initials: M
authors.lastname: Asaji
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yamaji
authors.forename: Kosuke
authors.initials: K
authors.lastname: Tsuruno
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Miyajima
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Mukasa
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Ebi
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D044466:Asian People; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007564:Japan; D008169:Lung Abscess / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D011008:Pneumococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D013296:Streptococcus pneumoniae / Q000472:pathogenicity; D035441:Thoracic Wall / Q000503:physiopathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents