Unusual presentation of Streptococcus pneumoniae infection as a chest wall abscess

Year 2018, , 44 - 45, 19.02.2018

Murat Sarıçam , Serkan Kaya

https://doi.org/10.28982/josam.394145

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

Abstract

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.

Keywords

Göğüs duvarı absesi, Streptococcus Pneumoniae, Cerrahi drenaj

References

• 1. LoCicero J: Infections of the chest wall. In: Shields T, Locicero J, Ponn R, Rusch V (eds), General Thoracic Surgery. Philadelphia: Lippincott&Williams, 2005:682-683.
• 2. Losanoff JE, Richman BW, Jones JW. Necrotizing soft tissue infection of the chest wall. J Cardiovasc Surg. 2002;43:549.
• 3. Taylor S, Sanders C. Unusual manifestations of invasive pneumococcal infection. Am J Med. 1999;107(1):12-27.
• 4. Ossa A, Wistuba O, Illesca B, Reydet B. Invasive extrapulmonary infections due to streptococcus pneumoniae. Report of three fatal cases. Revista Medica de Chile. 1997;125(2):200-209.
• 5. Song JH, Oh W, Kang C, Chung DR, Peck KR, et al. Epidemiology and clinical outcomes of community-acquired pneumonia in adult patients in Asian countries: a prospective study by the Asian network for surveillance of resistant pathogens. Int J Antimic Ag. 2008;31(2):107-114.
• 6. Papavramidis T, Papadopoulos V, Michalapoulos A, Paramythiotis D, et al. Anterior chest wall tuberculous abscess: a case report. J Med Case Reports. 2007;1:152.
• 7. Hsu G, Chen C, Lai M, Luh S. Chest wall abscesses due to Prevotella bivia. J Zhejiang Univ Sci B. 2009;10(3):233-236.