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[Case report: lung abscess caused by Streptococcus agalactiae]

Y Obase1, Y Higashiyama, T Shimafuji

  • 1Hokusho Central Hospital.

Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases
|December 12, 1997
PubMed
Summary
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Streptococcus agalactiae rarely infects adults, but this case shows it can cause severe lung abscess and pyogenic spondylitis. Prompt antibiotic treatment and drainage led to recovery in this adult patient.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Clinical Medicine

Background:

  • Streptococcus agalactiae is a primary cause of neonatal infections like sepsis and meningitis.
  • Adult infections with Streptococcus agalactiae are uncommon but can occur.
  • Underlying conditions, such as diabetes mellitus, may predispose adults to S. agalactiae infections.

Observation:

  • A 51-year-old male presented with symptoms of a chest abnormality and lower back pain.
  • Diagnostic imaging revealed a lung abscess and pyogenic spondylitis.
  • Culture of aspirated pus identified Streptococcus agalactiae as the causative agent.

Findings:

  • The patient was diagnosed with a lung abscess and pyogenic spondylitis.
  • Treatment involved antibiotics (imipenem/cilastatin and clindamycin) and surgical drainage of the abscess.

Related Experiment Videos

  • Magnetic Resonance Imaging (MRI) confirmed pyogenic spondylitis as the cause of back pain.

    • Implications:

    • This case highlights the potential for Streptococcus agalactiae to cause severe invasive infections in adults.
    • Early diagnosis and appropriate antimicrobial therapy are crucial for successful treatment outcomes.
    • Physicians should consider S. agalactiae in the differential diagnosis of severe infections in adults, especially those with predisposing factors like diabetes.