Group B streptococcal necrotizing pneumonia in a diabetic adult patient.
The aim of this report is to describe a rare case of necrotizing pneumonia due to group B Streptococcus serotype III in a relatively young male adult (48 years old) suffering from diabetes. The organism was isolated from his pleural fluid and was only resistant to tetracycline. The patient first received ceftazidime (2g/8h i.v.)+clindamycin (300mg/8h) for 18 days and then he was discharged home and orally treated with amoxicillin clavulanic acid (1g/12h) for 23 days with an uneventful evolution. As in the cases of invasive infection by Streptococcus pyogenes, clindamycin could prevent streptococcal toxic shock syndrome.
Hospital Z.E.A. y C. San Juan de Dios, La Plata, Argentina.
Andrea
A
Pacha
Hospital Z.E.A. y C. San Juan de Dios, La Plata, Argentina.
Ramiro
R
Luna Cian
Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Argentina.
Laura
L
Bonofiglio
Hospital Z.E.A. y C. San Juan de Dios, La Plata, Argentina.
Melisa
M
Solari
Hospital Z.E.A. y C. San Juan de Dios, La Plata, Argentina; Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Argentina; Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Argentina.
Virginia
V
Strada
Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Argentina.
Mariana
M
Suárez
Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Argentina.
Laura
L
Vigliarolo
Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Argentina.
Carina
C
Tersigni
Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Argentina.
Marta
M
Mollerach
Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Argentina. Electronic address: hlopar25@gmail.com.
Horacio
H
Lopardo
D002981:Clindamycin; D048909:Diabetes Complications; D003920:Diabetes Mellitus; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071067:Pneumonia, Necrotizing / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis; D013297:Streptococcus pyogenes
D002981:Clindamycin
Diabetes; Group B Streptococcus; Necrotizing pneumonia; Neumonía necrosante; Streptococcus del grupo B