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Updated: Mar 11, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
Pyopneumothorax secondary to Streptococcus milleri infection
Mohd Jazman Che Rahim1, Nurashikin Mohammad2, Wan Syamimee Wan Ghazali2
1Department of Medical, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia.
Abstract:
We report a case of a 46-year-old Malay woman with underlying hypothyroidism post thyroidectomy who presented with worsening breathlessness, orthopnoea, productive cough and left-sided pleuritic chest pain of 3 days duration. Chest X-ray on admission showed left-sided massive hydropneumothorax. Pleural tapping revealed empyema. A chest tube was inserted immediately. The culture of pleural fluid grew Streptococcus constellatus The patient was treated with antibiotics for a total of 6 weeks and underwent open thoracotomy and decortication during admission. Subsequently, her lung condition improved and there was no evidence of recurrence during follow-up.
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