Streptococcus intermedius Pleuropulmonary Disease: A Not So Commonly Seen Radiological Picture

A Streptococcus (S.) intermedius-associated pleuropulmonary infection (PPI) is a rare presentation. Cases have been reported in the last decade in which S. intermedius was identified in pleural fluid cultures and lung biopsies in patients presenting with complicated pleural effusions and empyema. However, there are data lacking on predisposing factors, mode of dissemination, and treatment strategies for these patients. Moreover, these patients can present with a spectrum of radiographic findings, which can help with prompt diagnosis and effective patient management. However, the radiological findings in this patient and the rapidly worsening clinical symptoms make the diagnosis difficult.