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Streptococcus Pyogenes Pneumonia


Presentation

  • Predisposing medical or surgical conditions were present in 65% of the patients. Major complications included septicaemia, pleural reaction, shock, pulmonary cavitation, osteomyelitis and metastatic abscesses.[ncbi.nlm.nih.gov]
  • In the present series, half of the patients (n 20) were older than 60 years.[journals.plos.org]
  • We report a 35 year-old female previously subjected to a thyroidectomy for a thyroid cancer, that five days after operation, presented with a severe community-acquired pneumonia caused by Streptococcus pyogenes (Lancefield Group A Streptococcus) that[unboundmedicine.com]
Fever
  • Pyogenes (Virulence Factors) 1) Streptolysin O 2) Streptokinase 3) DNase 4) M protein (Rheumatic fever) 1) Strawberry tongue 2) Pharyngitis 3) Rash that doesn't affect the face Rheumatic fever (Symptoms) Jnes 1) Polyarthritis 2) Heart problems 3) Subcutaneous[quizlet.com]
  • Oral acetaminophen was prescribed, but his fever persisted.[ncbi.nlm.nih.gov]
Chills
  • […] by , Last updated May 7, 2012 aka Pulmonary Puzzle 004 Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgias and cough followed by worsening breathlessness over the past 4 days.[lifeinthefastlane.com]
  • ROS was negative for chest pain, fever, chills, cough and sputum production. Past medical history (PMH) was significant for a history of chronic obstructive lung disease (COLD) and prior coronary artery disease.[remedypublications.com]
High Fever
  • See your doctor promptly if you Have a high fever Have shaking chills Have a cough with phlegm that doesn't improve or gets worse Develop shortness of breath with normal daily activities Have chest pain when you breathe or cough Feel suddenly worse after[icdlist.com]
  • Like necrotizing fasciitis and toxic shock syndrome, bacterial pneumonia progresses vary rapidly with a sudden onset of high fever.[bacmap.wishartlab.com]
  • After incubation the infected individual will begin to acquire symptoms such as a high fever, chills, cough, sore throat, chest pains, body aches, fatigue, rapid breathing, and maybe even nausea/vomiting. (10 and 11).[austincc.edu]
  • Respiratory syncytial virus (RSV) and the influenza virus are the first and second most common causes of viral pneumonia. 1, 2 Pneumonia can be difficult to diagnose because the typical symptoms – shortness of breath, weakness, high fever, coughing, and[biomerieux-diagnostics.com]
Fever of Unknown Origin
  • A patient was admitted to our hospital to thoroughly investigate the cause of a persistent fever of unknown origin.[ncbi.nlm.nih.gov]
Cerebral Palsy
  • palsy (nursing home) - - LLL III - 80 - BS 6.0 382 slo, speB, speC 06/2008 45 Male Smoker, alcohol abuse - Yes RLL LLL pleural effusion V - 80 - Blood 1.0 28 slo, speA, speB, smeZ 07/2008 72 Male COPD, DM, AHT, atrial fibrillation, stroke - Yes RLL V[ncbi.nlm.nih.gov]
Cough
  • She had 1-week history of sore throat, fever and cough. She had been to a neighboring clinic three days previously, and had been prescribed some medication for bronchitis, but her symptoms had not improved.[ncbi.nlm.nih.gov]
  • She was seen in follow‐up 2 weeks later and was well with no further cough or fever.[remedypublications.com]
Rales
  • […] knees while the patient is supine Kernig sign extension of the knee while the hips are flexed at 90 causes pain/discomfort otitis media fever irritability ear-tugging/rubbing pneumonia decreased breath sounds increased fremitus dullness to percussion rales[medbullets.com]
  • Chest auscultation revealed bibasilar inspiratory rales. Abdominal examination showed the PEGtube in left upper quadrant without erythema, drainage or tenderness. Remainder of abdominal examination was normal.[remedypublications.com]
Sleep Apnea
  • He had a past history of COLD, congestive heart failure, coronary artery disease and obstructive sleep apnea. Vital signs were: blood pressure 134/79 mmHg; temperature of 101.3 F; heart rate 131/min.; respiratory rate 34/min.[remedypublications.com]
Productive Cough
  • Review Topic QID: 106715 M1 Select Answer to see Preferred Response PREFERRED RESPONSE 2 (M1.MC.74) An 84-year-old female presents to the emergency department from her nursing home with complaints of fever and a productive cough with rust-colored sputum[medbullets.com]
  • Clinical features        Productive cough Pleural pain Sudden expectoration of copious sputum High pyrexia Profound systemic upset Pleural rub Signs of consolidation On chest x-ray homogenous lobar or segmental opacity consistent with consolidation[de.slideshare.net]
  • Patient 1 was a 64-year-old man from Nova Scotia who presented in the late winter of 2000 with a two-day history of productive cough, fatigue, dyspnea, and fever (temperature, 38.4 C). He had no history of treatment with fluoroquinolones.[nejm.org]
Tachypnea
  • Management Oxygen Administered to patients with tachypnea, hypoxemia, hypotension or acidosis. Maintain PaO2 8kPa or SaO2 92%.[de.slideshare.net]
  • Clinical presentation Children with complicated pneumonia will present with many of the symptoms and signs of uncomplicated pneumonia including tachypnea, fever, cough and respiratory distress.[cps.ca]
Left Shoulder Pain
  • On the second hospital day she developed left shoulder pain and a large right pleural effusion requiring thoracentesis followed by tube thoracostomy. She also underwent needle aspiration then arthroscopic drainage of an infected left shoulder joint.[remedypublications.com]

Workup

Cavitary Lesion
  • In the present series, this clone was also related to 11 out of 15 episodes with multilobar pneumonia and in 3 of 4 episodes with cavitary lesions.[ncbi.nlm.nih.gov]
Atelectasis
  • Pyopneumothorax Abscess formation Bronchopleural fistula In children Rapidly developing lobar/multilobar consolidation Pleural effusion (90%) Pneumatocoele In adults Patchy bronchopneumonia of segmental distribution, frequency bilateral May be associated with atelectasis[learningradiology.com]
  • CT of Chest showed large right‐sided pleural effusion with atelectasis of the right lower lobe and a small amount of left‐sided pleural fluid with left lower lung infiltrate.[remedypublications.com]
Normal Chest X-Ray
  • Abdominal exam was normal. Chest xray showed confluent infiltration of right lung base with focal infiltrate in the left lower lung zone.[remedypublications.com]
Pulmonary Infiltrate
  • infiltrates • Elevated LFTs e • Aortic insufficiency • Left ventricular dilatation leading to CHF c Out of 15 cases of S. pyogenes endocarditis with clinical information available (including those presented above), 10 were male (67%) and 5 were female[bmcpediatr.biomedcentral.com]
Decreased Oxygen Saturation
  • He was noted to have decreased oxygen saturation (70%) by Emergency Medical Service (EMS) at home. He had a past medical history of congestive heart failure and hypertension.[remedypublications.com]
Gram-Positive Bacteria
  • Introduction Streptococcus pyogenes is a gram positive bacteria. It is a cocci or sphere shaped bacterium that does not produce spores.[legacy.earlham.edu]
  • Bacilli are almost exclusively gram-positive bacteria. [1] Ambiguity [ edit ] Several related concepts make use of similar words, and the ambiguity can create considerable confusion.[en.wikipedia.org]
  • Both are: spherical, facultatively anaerobic gram-positive bacteria common members of the normal human microbiota capable of resisting many forms of important antibiotics some species are capable of being pathogenic, responsible for serious infections[mrsaidblog.com]
  • Location: Lecture Hall 4Z, Alfred Nobels Allé 8, Karolinska University Hospital, Huddinge Abstract Streptococcus pyogenes and Staphylococcus aureus are Gram-positive bacteria that share many features, including clinical presentations and pathogenic mechanisms[openarchive.ki.se]
  • Streptococcus pneumoniae, or pneumococcus, is a gram-positive bacteria responsible for many types of pneumococcal infections.[news-medical.net]
Gram-Positive Coccus
  • Microbiological characteristics Streptococcus pneumoniae is a gram-positive coccus. Usually they are found in pairs of cocci, or diplococci, but they may also occur in short chains or singly.[web.uconn.edu]
  • [tags: DNA, Genetics, Gene, Molecular biology] Strong Essays 1231 words (3.5 pages) Acute Morphology of Streptococcus pyogenes Essay - Acute Morphology of Streptococcus pyogenes Abstract: Streptococcus pyogenes is a gram positive coccus bacterium that[123helpme.com]
  • The human pathogen Streptococcus pneumoniae is a Gram-positive coccus with a characteristic oval shape resembling an American football.[pnas.org]
Pleural Rub
  • Clinical features        Productive cough Pleural pain Sudden expectoration of copious sputum High pyrexia Profound systemic upset Pleural rub Signs of consolidation On chest x-ray homogenous lobar or segmental opacity consistent with consolidation[de.slideshare.net]

Treatment

  • Treatment of choice of Group A streptococcal infection is penicillin. However, clindamycin should be added in severe infections .[unboundmedicine.com]
  • And the best treatment is penicillin. Best wishes Yours Friedrich Flachsbart Lit.: J. J. Ferretti, D. L. Stevens, V. A. Fischetti: Streptococcus pyogenes: Basic Biology to clinical manifestations.[bmj.com]
  • Pneumoniae (Treatment) 1) macrolides 2) Ceftriaxone 1) Adults - cause IgM response 2) Children - cause IgG response S.[quizlet.com]
  • […] agents for the treatment of pertussis.[drugs.com]

Prognosis

  • The respiratory and renal prognosis was favourable in all cases.[dialnet.unirioja.es]
  • What is the prognosis? In a series of 2079 cases . of invasive group A Strep infection, the case fatality rate was 38% for pneumonia, compared with 26% for patients with necrotizing fasciitis.[lifeinthefastlane.com]
  • Since 2000, only 1 large series has been published describing the clinical presentation, prognosis and characteristics of the isolates [ 7 ].[journals.plos.org]

Etiology

  • Etiology of community‐ acquired pneumonia in patients requiring hospitalization. Eur J Clin Microbiol. 1985;4(3):268-72. Dorff GJ, Rytel MW, Farmer SG, Scanlon G. Etiologies and characteristic features of pneumonias in a municipal hospital.[remedypublications.com]

Epidemiology

  • Pertinent clinical, epidemiologic, diagnostic and therapeutic information was then extracted from the patient’s chart by one of the authors (JAH).[remedypublications.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiologically various data from mice models suggests that influenza virus infection damages the epithelium of the bronchi and lungs, allowing microaspirated bacterial pathogens to establish infection [ 8 ].[bmcinfectdis.biomedcentral.com]

Prevention

  • References 1 Centers for Disease Control and Prevention (CDC) .[academic.oup.com]
  • As a result, many studies agree that one way to prevent pneumococcal disease is to focus on the prevention of nasopharyngeal colonization (Bogaert et al. 2004).[microbewiki.kenyon.edu]
  • Preventing pneumonia is always better than treating it. Vaccines are available to prevent pneumococcal pneumonia and the flu. Other preventive measures include washing your hands frequently and not smoking.[icdlist.com]
  • -To prevent recurrence, lifelong prophylaxis is recommended for children with history of disseminated MAC.[drugs.com]

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