Analysis of clinical characteristics in 9 cases of empyema caused by Streptococcus anginosus
10.3969/j.issn.1671-8348.2024.15.022
- VernacularTitle:9例咽峡炎链球菌致脓胸的临床特征分析
- Author:
Song LIU
1
;
Yaming LI
;
Zonghai LI
;
Hui CHEN
;
Xin DIAO
;
Shuang PAN
Author Information
1. 西安医学院第一附属医院呼吸与危重症医学科,西安 710077
- Keywords:
Streptococcus anginosus;
empyema;
hospitalization time;
resistance rate;
treatment
- From:
Chongqing Medicine
2024;53(15):2362-2365,2369
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical characteristics of empyema caused by Streptococcus anginosus (SA).Methods The clinical data in 9 cases of SA caused empyema admitted and treated in the First Affiliated Hospital of Xi'an Medical University from January 2016 to September 2023 were analyzed ret-rospectively,summarized the clinical characteristics of empyema caused by SA.Results Among 9 patients,there were 8 males and 1 female,with a mean age of (60.8±12.8)years old.All patients had the underlying diseases,meanwhile were accompanied by fever,expectoration,chest pain and dyspnea.The onset time was (6.1±2.2)d.The hospitalization time was (19.33±7.48)d.All patients showed the increase in white blood cells (WBC),C reactive protein (CRP),procalcitonin (PCT),D-dimer (D-D) and pleural effusion lactic dehy-drogenase (LDH),and decrease in blood albumin (ALB) and pleural effusion glucose (GLU).Most of the pa-tients had elevation of adenosine deaminase (ADA) in pleural fluid.Four patients had respiratory failure.The drug sensitivity test results of pleural effusion culture suggested five patients were resistant to erythromycin and clindamycin.One patient was resistant to ceftriaxone.Nine patients were improved after symptomatic treatment such as anti-infection,closed thoracic drainage and nutritional support.Conclusion The patients with SA caused empye-ma are more common in elderly patients with underlying diseases.The incubation period is short,the hospital stay is long,the infection indexes are high,malnutrition exists,and the resistance rate to erythromycin and clindamycin is high.
