A Community-acquired Lung Abscess Attributable to Streptococcus pneumoniae which Extended Directly into the Chest Wall

Intern Med. 2017;56(1):109-113. doi: 10.2169/internalmedicine.56.7398. Epub 2017 Jan 1.

Abstract

We herein report the case of 75-year-old Japanese female with a community-acquired lung abscess attributable to Streptococcus pneumoniae (S. penumoniae) which extended into the chest wall. The patient was admitted to our hospital with a painful mass on the left anterior chest wall. A contrast-enhanced chest computed tomography scan showed a lung abscess in the left upper lobe which extended into the chest wall. Surgical debridement of the chest wall abscess and percutaneous transthoracic tube drainage of the lung abscess were performed. A culture of the drainage specimen yielded S. pneumoniae. The patient showed a remarkable improvement after the initiation of intravenous antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Asian People
  • Community-Acquired Infections / diagnosis
  • Community-Acquired Infections / surgery
  • Female
  • Humans
  • Japan
  • Lung Abscess / etiology*
  • Lung Abscess / physiopathology
  • Lung Abscess / surgery*
  • Pneumococcal Infections / complications*
  • Pneumococcal Infections / diagnosis
  • Pneumococcal Infections / drug therapy
  • Pneumococcal Infections / surgery*
  • Streptococcus pneumoniae / pathogenicity
  • Thoracic Wall / physiopathology*
  • Thoracic Wall / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents