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星座链球菌感染致多发性肺腔病变、胸壁脓肿及椎体破坏:一病例报告
Authors Su ZQ, Rao WY, Pan XY , Tang JX, Fan MY, Chen XB, Li SY
Received 1 May 2023
Accepted for publication 26 July 2023
Published 15 August 2023 Volume 2023:16 Pages 5329—5333
DOI https://doi.org/10.2147/IDR.S416483
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Suresh Antony
Abstract: Disseminated infection caused by Streptococcus constellatus was seldom occurred. We reported a case of Streptococcus constellatus infection, presenting as multiple pulmonary cavities, thoracic wall abscess and vertebral destruction. The 37-year-old male had recurrent fever, chest wall swelling and pain, and lower limb numbness, he had weak physical condition and previously suffered from poorly controlled diabetes and severe periodontal disease for 3 years. Definite diagnosis of Streptococcus constellatus infection was made by metagenomic next-generation sequencing (mNGS) in abscess drainage fluid. Systemic antibiotics and thoracic wall drainage were given, and the pulmonary cavity and the thoracic intermuscular abscess were significantly decreased. Few to no study reported the disseminated infection (pulmonary cavities, thoracic wall abscess and vertebral destruction) caused by Streptococcus constellatus . This case report highlighted the importance of mNGS for accurate diagnosis, as well as the timely drainage and antibiotics for effective treatment of Streptococcus constellatus infection.
Keywords: Streptococcus constellatus , pulmonary cavity, thoracic wall abscess, vertebral destruction, metagenomic next-generation sequencing