Empyema caused by Streptococcus constellatus in a patient infected with HIV: a case report and literature review.

IF 2.1 4区 医学 Q3 INFECTIOUS DISEASES
Hong-Hong Yang, Mei Li, Qing Yu, Qian Liu, Min Liu
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引用次数: 0

Abstract

Background: Empyema caused by Streptococcus constellatus (S. constellatus) is rare in patients with HIV. To analyze the clinical data of a patient living with HIV (PLHIV), who got empyema caused by S. constellatus, investigating the diagnosis and treatment of this disease through literature review to improve the clinical understanding of this disease.

Case presentation: We have reported here a 58-year-old male PLHIV with cough, wheezing, and fever for 20 days. He has a history type 2 diabetes, alcohol abuse, and a teeth extracted. Chest computed tomography revealed multiple encapsulated pleural effusions, pneumatosis, and partial compressive atelectasis in the right lung. Submission of pleural efusions timely, and then cultures revealed S. constellatus. After comprehensive treatment, including antibiotics, closed pleural drainage, and intrapleural injection of urokinase, the pleural efusion was absorbed, and chest computed tomography also confirmed the improvement.

Conclusions: S. constellatus should not be neglected as a pus pathogen in patients with HIV. comprehensive treatment is important for empyema of S. constellatus.

一名艾滋病病毒感染者感染了由星座链球菌引起的肺水肿:病例报告和文献综述。
背景:在HIV感染者中,由缢缩链球菌(S. constellatus)引起的肺水肿非常罕见。目的:通过文献综述,分析一名艾滋病病毒感染者(PLHIV)患者因白色念球菌引起的肺水肿的临床数据,研究该病的诊断和治疗方法,以提高临床对该病的认识:我们在此报告了一名 58 岁的男性艾滋病毒感染者,他咳嗽、喘息和发烧已持续 20 天。他有 2 型糖尿病、酗酒和拔牙史。胸部计算机断层扫描显示右肺有多处包裹性胸腔积液、积气和部分压缩性肺不张。及时送检胸腔积液,然后进行培养,结果显示为S. constellatus。经过抗生素、胸膜腔闭式引流、胸膜腔内注射尿激酶等综合治疗后,胸腔积液被吸收,胸部计算机断层扫描也证实病情有所好转:结论:不应忽视缢蛏是艾滋病毒感染者的化脓性病原体,综合治疗对缢蛏性肺水肿非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AIDS Research and Therapy
AIDS Research and Therapy INFECTIOUS DISEASES-
CiteScore
3.80
自引率
4.50%
发文量
51
审稿时长
16 weeks
期刊介绍: AIDS Research and Therapy publishes articles on basic science, translational, clinical, social, epidemiological, behavioral and educational sciences articles focused on the treatment and prevention of HIV/AIDS, and the search for the cure. The Journal publishes articles on novel and developing treatment strategies for AIDS as well as on the outcomes of established treatment strategies. Original research articles on animal models that form an essential part of the AIDS treatment research are also considered
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