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A variety of infectious \npathogens have been reported in children with pneumatoceles. We report the first case of adult pneumonia with pneumatocele formation \nthat is likely caused by Streptococcus pyogenes and coinfection with influenza A virus. Case presentation: A 64-year-old Japanese \nman presented with a one-week history of fever, sore throat, and arthralgia. He was referred to our university hospital for\n respiratory distress. He required mechanical ventilation in the intensive care unit (ICU). Bacterial culture detected S.\n pyogenes in the bronchoscopic aspirates, which was not detected in blood. Although a rapid influenza antigen test was negative, \nan influenza A polymerase chain reaction (PCR) test was positive. Therefore, he was diagnosed with coinfection of influenza \nA and group A streptococcus (GAS) pneumonia complicated by probable streptococcal toxic shock syndrome. A chest radiograph on \nadmission showed diffuse patchy opacification and consolidation in the bilateral lung fields. Multiple thin-walled cysts appeared \nin both middle lung fields on computed tomography (CT). On the following day, the bilateral cysts had turned into a mass-like opacity.\n The patient died despite intensive care. An autopsy was performed. The pathology investigation revealed multiple hematomas formed\n by bleeding in pneumatoceles. Conclusions: There have been no previous reports of a pneumatocele complicated by S. pyogenes \nin an adult patient coinfected with influenza A. 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Pneumatocele formation in a fatal adult pneumonia patient coinfected with Streptococcus pyogenes emm-type 3 and influenza A: a case report
http://hdl.handle.net/10069/40443
http://hdl.handle.net/10069/40443cd5effae-9617-4afd-92cd-33a4ac30f219
名前 / ファイル | ライセンス | アクション |
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BMCID20_892.pdf (1.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-12-10 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Pneumatocele formation in a fatal adult pneumonia patient coinfected with Streptococcus pyogenes emm-type 3 and influenza A: a case report | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Case report | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | emm-type 3 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Influenza a | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pneumatocele | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Streptococcus pyogenes | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Sano, Masahiro
× Sano, Masahiro× Shimamoto, Aya× Ueki, Nozomi× Sekino, Motohiro× Nakaoka, Hiroshi× Takaki, Masahiro× Yamashita, Yoshiro× Tanaka, Takeshi× Morimoto, Konosuke× Yanagihara, Katsunori× Nakashima, Masahiro× Ashizawa, Kazuto× Ariyoshi, Koya |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: A pneumatocele is a transient thin-walled lesion and rare complication in adult pneumonia. A variety of infectious pathogens have been reported in children with pneumatoceles. We report the first case of adult pneumonia with pneumatocele formation that is likely caused by Streptococcus pyogenes and coinfection with influenza A virus. Case presentation: A 64-year-old Japanese man presented with a one-week history of fever, sore throat, and arthralgia. He was referred to our university hospital for respiratory distress. He required mechanical ventilation in the intensive care unit (ICU). Bacterial culture detected S. pyogenes in the bronchoscopic aspirates, which was not detected in blood. Although a rapid influenza antigen test was negative, an influenza A polymerase chain reaction (PCR) test was positive. Therefore, he was diagnosed with coinfection of influenza A and group A streptococcus (GAS) pneumonia complicated by probable streptococcal toxic shock syndrome. A chest radiograph on admission showed diffuse patchy opacification and consolidation in the bilateral lung fields. Multiple thin-walled cysts appeared in both middle lung fields on computed tomography (CT). On the following day, the bilateral cysts had turned into a mass-like opacity. The patient died despite intensive care. An autopsy was performed. The pathology investigation revealed multiple hematomas formed by bleeding in pneumatoceles. Conclusions: There have been no previous reports of a pneumatocele complicated by S. pyogenes in an adult patient coinfected with influenza A. Further molecular investigation revealed that the S. pyogenes isolate had the sequence type of emm3. |
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書誌情報 |
BMC Infectious Diseases 巻 20, 号 1, p. 892, 発行日 2020-11-26 |
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出版者 | ||||||
出版者 | BioMed Central Ltd | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14712334 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1186/s12879-020-05595-2 | |||||
権利 | ||||||
権利情報 | c The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commonslicence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | BMC Infectious Diseases, 20(1), art.no.892; 2020 |