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Two Cases of Group A Streptococcus-Induced Right Empyema: Rare Occurrences in Adult Medicine

Year: 2024

Type: article

Abstract: Group A Streptococcus (GAS) empyema, though rare in adults, poses serious clinical challenges. We present two cases of GAS-induced right empyema in immunocompetent patients. Case 1 involved a 45-year-old female Chinese healthcare worker with persistent pleural effusion despite antibiotic therapy. GAS was isolated from her sputum and bronchoalveolar lavage, necessitating a treatment shift to clindamycin and co-amoxiclav. Case 2 featured a 55-year-old Filipino domestic helper exhibiting right lower chest consolidation and effusion. Thoracocentesis confirmed empyema, prompting intrapleural fibrinolytic administration. Both cases highlight the diagnostic complexity and therapeutic intricacies of adult GAS empyema, underscoring the importance of early recognition and tailored management strategies for optimal patient outcomes.

Source: Cureus

DOI: 10.7759/cureus.68920

Authors: Cheuk Cheung Derek Leung, Pak Yui Fong, Yu Hong Chan, Man Ying Ho, Yiu Cheong Yeung

Institution: Princess Margaret Hospital

Language: English

Topic: Pleural and Pulmonary Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402343606