Group B streptococcal necrotizing pneumonia in a diabetic adult patient
2017
Pachá, Andréa | Luna Cian, Ramiro | Bonofiglio, Laura | Solari, Melisa | Strada, Virginia | Suárez, Mariana | Vigliarolo, Laura | Tersigni, Carina | Mollerach, Marta | Lopardo, Horacio
The aim of this report is to describe a rare case of necrotizing pneumonia due to group B Streptococcus serotype III in a relatively young male adult (48 years old) suffering from diabetes. The organism was isolated from his pleural fluid and was only resistant to tetracycline. The patient first received ceftazidime (2g/8h i.v.)+clindamycin (300mg/8h) for 18 days and then he was discharged home and orally treated with amoxicillin clavulanic acid (1g/12h) for 23 days with an uneventful evolution. As in the cases of invasive infection by Streptococcus pyogenes, clindamycin could prevent streptococcal toxic shock syndrome.
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