정신지체환자에서 발생한 Streptococcus constellatus와 혐기성 균에 의한 거대 농흉 1예

• Published in: Tuberculosis and respiratory diseases Vol. 71; no. 6; pp. 476 - 479
• Main Authors: 김경현, 김세현, 허정원, 이상훈, 한선숙, 이승준, 김우진, Kim, Kyeong-Hyun, Kim, Se-Hyun, Heo, Jeong-Won, Lee, Sang-Hoon, Han, Seon-Sook, Lee, Seoung-Joon, Kim, Woo-Jin
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01.12.2011
• Subjects: 내과학; Streptococcus milleri Group; Empyema; Mental retardation
• ISSN: 1738-3536; 2005-6184

The Streptococcus milleri group, which also includes S. anginosus, S. intermedius and S. constellatus, is found in the oropharynx, upper respiratory tract, gastrointestinal tract, and urogenital tract mucosa. Bacteria in the Streptococcus milleri group are associated with bacteremia and abscess formation. Most of the reports of of Streptococcus milleri group (SMG) infection occur in patients with underlying medical conditions. Predisposing factors that have been associated with S. milleri group empyema include mucosal disturbances (sinusitis, periodontal disease, enteric disease), preceding to pneumonia, thoracic surgery, malignancy, neurological disease, alcohol abuse, and also diabetes mellitus. We report on a 42-year-old man with mental retardation. He who suffered from dyspnea and a fever that he had developed for over 14 days. S. constellatus and anaerobic bacterias (Prevotella buccae and Micromonas micros) were cultured. The patient was treated with the drainage of pleural effusion and clindamycin and levofloxacin.