Unusual presentation of Streptococcus pneumoniae infection as a chest wall abscess

Abstract

Chest wall abscess may develop due to primary infection, thoracic wall surgery or trauma. Treatment modality includes identification of the etiology, appropriate antibiotherapy and also surgical drainage in necessary conditions. We reported a 56 year old male who admitted to our clinic with a painful swelling on his back which developed rapid enlargement within two weeks. Computed tomography showed agreement with an abscess formation on the left lateral and posterior chest wall but was unable to diagnose any pathologic involvement in the lung parenchyma or ribs. We performed surgical drainage of the extrapleural collection that presented the growth of Streptococcus Pneumoniae in the postoperative studies. The aim of our report is to introduce an unusual and rare clinical presentation of the bacteria as an extrapulmonary manifestation which required surgical drainage.

Keywords

• Chest wall abscess,Streptococcus pneumoniae,Surgical drainage

Streptococcus pneumoniae enfeksiyonunun göğüs duvarı absesi olarak alışılmamış sunumu

Öz

Göğüs duvarı absesi primer enfeksiyon, göğüs duvarı cerrahisi veya travmaya bağlı olarak gelişebilir. Tedavi yöntemi etyolojinin saptanması, uygun antibiyoterapi ve gerekli durumlarda cerrahi drenaj uygulanmasıdır. Sırtındaki ağrılı şişlikte son iki haftada hızla büyüme oluşan 56 yaşındaki erkek hastayı sunmaktayız. Bilgisayarlı tomografide sol yan ve arka göğüs duvarında abse ile uyumlu görünüm saptanırken akciğer parankimi veya kaburgalarda herhangi patolojik bulguya rastlanmadı. Cerrahi drenaj uyguladığımız ekstraplevral koleksiyonun ameliyat sonrası incelemesinde Streptococcus Pneumoniae üremesi olduğu bildirildi. Sunumumuzun amacı bakterinin ekstrapulmoner bulgu olarak ortaya çıkan ve cerrahi drenaj gerektiren alışılmamış ve nadir klinik yansımasını takdim etmektir.

Anahtar Kelimeler

• Göğüs duvarı absesi,Streptococcus Pneumoniae,Cerrahi drenaj

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