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A case of multiple empyema caused by Streptococcus intermedius.

Akihito Kaga1, Ryuzaburo Higo1, Hiroshi Yoshikawa1

  • 1Department of Otorhinolaryngology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu-shi, Chiba 279-0021, Japan.

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PubMed
Summary

This case study highlights Streptococcus intermedius as a cause of widespread empyema in a young adult. Early diagnosis and treatment are crucial for managing this rare but serious infection.

Keywords:
Bur hole drainageMastoidectomyMultiple empyemaOtitis mediaPansinusitusStreptococcus intermedius

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Medical Case Reports

Background:

  • Streptococcus intermedius is a bacterium that can cause serious infections.
  • Multiple empyema, though rare, is increasingly reported in healthy young adults.

Observation:

  • A 38-year-old man presented with sinusitis, otitis media, and persistent headache.
  • Imaging revealed pansinusitis, mastoiditis, otitis media, and subsequently, multiple empyema including epidural and pulmonary involvement.

Findings:

  • The patient's multiple empyema was definitively caused by Streptococcus intermedius.
  • Treatment involved meropenem, burr hole drainage for epidural empyema, and long-term management for pulmonary suppuration.

Implications:

  • Streptococcus intermedius should be considered in the differential diagnosis of multiple empyema, even in immunocompetent individuals.
  • This case underscores the importance of comprehensive diagnostic workups for persistent infections.