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Deep soft-tissue infections caused by Streptococcus pneumoniae

P Kragsbjerg1, T Norén, B Söderquist

  • 1Department of Infectious Diseases, Orebro Medical Center Hospital, Sweden.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|November 1, 1995
PubMed
Summary

Deep soft-tissue infections from Streptococcus pneumoniae are rare but can affect healthy adults. This study presents three cases, including abscesses and mastitis, highlighting the need for awareness.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Streptococcus pneumoniae is a common cause of respiratory infections.
  • Deep soft-tissue infections (DSTIs) due to S. pneumoniae are considered uncommon.
  • Immunocompetent adults are typically not considered at high risk for these infections.

Observation:

  • Three distinct cases of DSTIs caused by S. pneumoniae in previously healthy adults are detailed.
  • Case 1: A male patient developed pelvic and inguinal abscesses at a prior traumatic injury site.
  • Case 2: A female patient presented with mastitis and systemic symptoms.
  • Case 3: A female patient developed a gluteal abscess following an intramuscular contraceptive injection.

Findings:

  • The presented cases demonstrate that S. pneumoniae can cause significant deep soft-tissue infections.

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  • Infections manifested as abscesses in various locations (pelvic, inguinal, gluteal) and mastitis.
  • These infections occurred in immunocompetent individuals, challenging typical risk assessments.

    • Implications:

    • Clinicians should consider S. pneumoniae in the differential diagnosis of DSTIs, even in immunocompetent adults.
    • The findings suggest a broader spectrum of clinical presentations for S. pneumoniae infections.
    • Further research may be warranted to understand the mechanisms and risk factors for S. pneumoniae DSTIs in this population.