Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
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Case Report

Volume 8, Number 11, November 2016, pages 831-835

Bacterial Pneumonia Caused by Streptococcus pyogenes Infection: A Case Report and Review of the Literature


Figure 1.
Figure 1. A chest X-ray film on admission. Multiple granular shadows predominantly distributed in the lower lung field, and thickening of the right interlobar pleura were observed. These findings had been pointed since the patient had had been infected with tuberculosis. No obvious findings suggesting pneumonia were observed.
Figure 2.
Figure 2. A plain computed tomography image of the lung on admission. Increased density around the lobar bronchi in the right upper lobe of the lung, which suggested bronchopneumonia (white arrow), and emphysematous changes in both lungs were observed.


Table 1. Sixteen Adult Cases of S. pyogenes Pneumonia Reported in the Past Three Decades
AuthorYearAge (years), sexComorbidityDuration from onset to hospitalizationBlood pressure, pulse rate, and body temperature on admissionAdministered antibiotics for initial treatmentComplication emerging after hospitalizationBlood culture-positiveOutcome
ABPC: aminobenzylpenicillin; ABPC/SBT: aminobenzylpenicillin/sulbactam; AMPC/CVA: amoxicillin/clavulanic acid; CAM: clarithromycin; CLDM: clindamycin; COPD: chronic obstructive pulmonary disease; CPFX: ciprofloxacin; CTRX: ceftriaxone; AZM: azithromycin; CTX: cefotaxime; DIC: disseminated intravascular coagulation; DOXY: doxycycline; EM: erythromycin; GM: gentamycin; MEPM: meropenem; MFIPC: flucloxacillin; MINO: minocycline; PC-G: penicillin G; PIPC/TAZ: piperacillin/tazobactam; VCM: vancomycin.
McMurray et al [9]198733, female-72 h80/50 mm Hg, 120 bpm, 39 °CABPC + EM + MFIPC + GMPleural effusion-Dead on the day of hospitalization
McIntyre et al [10]198930, femaleBronchial asthma2 days95/65 mm Hg, 100 bpm, 38.7 °CABPCLung abscess+Alive
McWhinney et al [11]199126, maleIntravenous drug misuser2 days60/40 mm Hg, 60 bpm, 35 °CEM + MFIPCPleural effusion, lung abscess+Alive
Hamour et al [12]199453, maleHerpes labialis, oral candidiasis1 week117/70 mm Hg, 120 bpm, 38 °CCTX + EM + CPFXPleural effusion, atrial fibrillation and flutter, desquamating skin rash-Alive
Brusch et al [13]199651, male-1 week105/55 mm Hg, 130 bpm, 38.5 °CVCM + EM + DOXYSupraventricular tachycardia, multiple organ failure-Dead on the second hospital day
Kalima et al [14]199835, femaleFlu-A1 weekUnknownPC-G + CLDMPneumothorax, bronchopleural fistula+Alive
Birch and Gowardman [15]200033, male-1 week110/55 mm Hg, 130 bpm, 40.3 °CCTX + EMPleural effusion, multiple organ failure, DIC+Alive
Taylor and Barkham [16]200289, maleCOPD, stroke2 days140/100 mm Hg, pulse rate unknown, 38 °CCTRX-+Dead on the day of hospitalization
Papadas et al [17]200824, femaleTonsillitis9 daysBlood pressure and pulse rate unknown, 40 °CAMPC/CVA + CAM-+Alive
Saldias et al [18]200835, femaleThyroid cancerWithin 1 day106/60 mm Hg, 90 bpm, 37.8 °CCTRX + CLDMAcute respiratory failure, septic shock+Alive
Izumiyama et al [19]200830, female-1 week70/40 mm Hg, 160 bpm, 37.6 °CMEPM + MINOAcute respiratory failure, septic shock+Dead 7 h after hospitalization
Weinblatt et al [20]200954, femaleRheumatoid arthritis1 week110/70 mm Hg, 110 bpm, 38.9 °CCTRX + CLDM + VCMAcute respiratory failure, pneumothorax, septic shock-Dead 8 h after hospitalization
Abei et al [21]201039, femaleFlu-B3 daysUnknownPIPC/TAZ + CLDMAcute respiratory failure, septic shock+Alive
Abei et al [21]201027, femaleFlu-B3 daysUnknownAMPC/CVA + CAMAcute respiratory failure, septic shock, pulmonary hemorrhage+Dead 18 days after hospitalization
Lam et al [22]201334, maleFlu-B5 daysUnknownMEPM + AZM + VCMSeptic shock, multiple organ failure+Alive
Akuzawa (our case)201678, maleObsolete pulmonary tuberculosis4 days124/72 mm Hg, 96 bpm, 39.4 °CABPC/SBT-+Alive