Pneumonia and Empyema Caused by Streptococcus intermedius that Shows the Diagnostic Importance of Evaluating the Microbiota in the Lower Respiratory Tract
The bacterial species in the Streptococcus anginosus group (S. constellatus, S. anginosus, S. intermedius) are important causative pathogens of bacterial pneumonia, pulmonary abscesses and empyema. However, the bacteria in this group are primarily oral resident bacteria and unable to grow significan...
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Veröffentlicht in: | Internal Medicine 2014, Vol.53(1), pp.47-50 |
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creator | Noguchi, Shingo Yatera, Kazuhiro Kawanami, Toshinori Yamasaki, Kei Fukuda, Kazumasa Naito, Keisuke Akata, Kentarou Nagata, Shuya Ishimoto, Hiroshi Taniguchi, Hatsumi Mukae, Hiroshi |
description | The bacterial species in the Streptococcus anginosus group (S. constellatus, S. anginosus, S. intermedius) are important causative pathogens of bacterial pneumonia, pulmonary abscesses and empyema. However, the bacteria in this group are primarily oral resident bacteria and unable to grow significantly on ordinary aerobic culture media. We experienced a case of pneumonia and empyema caused by Streptococcus intermedius detected using a 16S rRNA gene sequencing analysis of bronchoalveolar lavage fluid and pleural effusion, but not sputum. Even when applying the molecular method, sputum samples are occasionally unsuitable for identifying the causative pathogens of lower respiratory tract infections. |
doi_str_mv | 10.2169/internalmedicine.53.0971 |
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However, the bacteria in this group are primarily oral resident bacteria and unable to grow significantly on ordinary aerobic culture media. We experienced a case of pneumonia and empyema caused by Streptococcus intermedius detected using a 16S rRNA gene sequencing analysis of bronchoalveolar lavage fluid and pleural effusion, but not sputum. Even when applying the molecular method, sputum samples are occasionally unsuitable for identifying the causative pathogens of lower respiratory tract infections.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.53.0971</identifier><identifier>PMID: 24390528</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>16S ribosomal RNA gene ; Aged ; clone library sequencing ; Empyema, Pleural - complications ; Empyema, Pleural - diagnosis ; Empyema, Pleural - microbiology ; health care-associated pneumonia ; Humans ; Male ; Microbiota - physiology ; Pneumonia, Bacterial - complications ; Pneumonia, Bacterial - diagnosis ; Pneumonia, Bacterial - microbiology ; Respiratory Tract Infections - complications ; Respiratory Tract Infections - diagnosis ; Respiratory Tract Infections - microbiology ; Streptococcal Infections - complications ; Streptococcal Infections - diagnosis ; Streptococcus anginosus ; Streptococcus intermedius ; Streptococcus intermedius - isolation & purification</subject><ispartof>Internal Medicine, 2014, Vol.53(1), pp.47-50</ispartof><rights>2014 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c559t-dbf403cbdeea607817d6c5e5fe393677b6b39dc25f0db70dcf6bc424382af0e83</citedby><cites>FETCH-LOGICAL-c559t-dbf403cbdeea607817d6c5e5fe393677b6b39dc25f0db70dcf6bc424382af0e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24390528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noguchi, Shingo</creatorcontrib><creatorcontrib>Yatera, Kazuhiro</creatorcontrib><creatorcontrib>Kawanami, Toshinori</creatorcontrib><creatorcontrib>Yamasaki, Kei</creatorcontrib><creatorcontrib>Fukuda, Kazumasa</creatorcontrib><creatorcontrib>Naito, Keisuke</creatorcontrib><creatorcontrib>Akata, Kentarou</creatorcontrib><creatorcontrib>Nagata, Shuya</creatorcontrib><creatorcontrib>Ishimoto, Hiroshi</creatorcontrib><creatorcontrib>Taniguchi, Hatsumi</creatorcontrib><creatorcontrib>Mukae, Hiroshi</creatorcontrib><title>Pneumonia and Empyema Caused by Streptococcus intermedius that Shows the Diagnostic Importance of Evaluating the Microbiota in the Lower Respiratory Tract</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>The bacterial species in the Streptococcus anginosus group (S. constellatus, S. anginosus, S. intermedius) are important causative pathogens of bacterial pneumonia, pulmonary abscesses and empyema. However, the bacteria in this group are primarily oral resident bacteria and unable to grow significantly on ordinary aerobic culture media. We experienced a case of pneumonia and empyema caused by Streptococcus intermedius detected using a 16S rRNA gene sequencing analysis of bronchoalveolar lavage fluid and pleural effusion, but not sputum. Even when applying the molecular method, sputum samples are occasionally unsuitable for identifying the causative pathogens of lower respiratory tract infections.</description><subject>16S ribosomal RNA gene</subject><subject>Aged</subject><subject>clone library sequencing</subject><subject>Empyema, Pleural - complications</subject><subject>Empyema, Pleural - diagnosis</subject><subject>Empyema, Pleural - microbiology</subject><subject>health care-associated pneumonia</subject><subject>Humans</subject><subject>Male</subject><subject>Microbiota - physiology</subject><subject>Pneumonia, Bacterial - complications</subject><subject>Pneumonia, Bacterial - diagnosis</subject><subject>Pneumonia, Bacterial - microbiology</subject><subject>Respiratory Tract Infections - complications</subject><subject>Respiratory Tract Infections - diagnosis</subject><subject>Respiratory Tract Infections - microbiology</subject><subject>Streptococcal Infections - complications</subject><subject>Streptococcal Infections - diagnosis</subject><subject>Streptococcus anginosus</subject><subject>Streptococcus intermedius</subject><subject>Streptococcus intermedius - isolation & purification</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc-O0zAQxiMEYsvCKyAfubTYsR3HR1S6sFL5I3Y5RxNn0nqV2MF2WPVVeFqStvSAkLiMR_Zvvk-eL8sIo6ucFfqtdQmDg67HxhrrcCX5imrFnmQLxoVeqpzLp9mCalYu86lcZS9ifKCUl0rnz7OrXHBNZV4usl9fHY69dxYIuIZs-uGAPZA1jBEbUh_IXQo4JG-8MWMkR-PZderTHhK52_vHuUXy3sLO-ZisIbf94EMCZ5D4lmx-QjdCsm535D5ZE3xtfYJJ7Xiz9Y8YyDeMgw2QfDiQ-wAmvcyetdBFfHU-r7PvN5v79cfl9suH2_W77dJIqdOyqVtBuakbRCioKplqCiNRtsg1L5Sqi5rrxuSypU2taGPaojZi2kCZQ0ux5NfZm5PuEPyPEWOqehsNdh049GOsmOSiFJIr9n9UaKqEKJiY0PKETr-NMWBbDcH2EA4Vo9UcYvV3iJXk1RziNPr67DLW0-Nl8E9qE_D5BDzEBDu8ABCm7Xf4T2U2l7PDBTR7CBU6_hu1Vr62</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Noguchi, Shingo</creator><creator>Yatera, Kazuhiro</creator><creator>Kawanami, Toshinori</creator><creator>Yamasaki, Kei</creator><creator>Fukuda, Kazumasa</creator><creator>Naito, Keisuke</creator><creator>Akata, Kentarou</creator><creator>Nagata, Shuya</creator><creator>Ishimoto, Hiroshi</creator><creator>Taniguchi, Hatsumi</creator><creator>Mukae, Hiroshi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>20140101</creationdate><title>Pneumonia and Empyema Caused by Streptococcus intermedius that Shows the Diagnostic Importance of Evaluating the Microbiota in the Lower Respiratory Tract</title><author>Noguchi, Shingo ; Yatera, Kazuhiro ; Kawanami, Toshinori ; Yamasaki, Kei ; Fukuda, Kazumasa ; Naito, Keisuke ; Akata, Kentarou ; Nagata, Shuya ; Ishimoto, Hiroshi ; Taniguchi, Hatsumi ; Mukae, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-dbf403cbdeea607817d6c5e5fe393677b6b39dc25f0db70dcf6bc424382af0e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>16S ribosomal RNA gene</topic><topic>Aged</topic><topic>clone library sequencing</topic><topic>Empyema, Pleural - complications</topic><topic>Empyema, Pleural - diagnosis</topic><topic>Empyema, Pleural - microbiology</topic><topic>health care-associated pneumonia</topic><topic>Humans</topic><topic>Male</topic><topic>Microbiota - physiology</topic><topic>Pneumonia, Bacterial - complications</topic><topic>Pneumonia, Bacterial - diagnosis</topic><topic>Pneumonia, Bacterial - microbiology</topic><topic>Respiratory Tract Infections - complications</topic><topic>Respiratory Tract Infections - diagnosis</topic><topic>Respiratory Tract Infections - microbiology</topic><topic>Streptococcal Infections - complications</topic><topic>Streptococcal Infections - diagnosis</topic><topic>Streptococcus anginosus</topic><topic>Streptococcus intermedius</topic><topic>Streptococcus intermedius - isolation & purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noguchi, Shingo</creatorcontrib><creatorcontrib>Yatera, Kazuhiro</creatorcontrib><creatorcontrib>Kawanami, Toshinori</creatorcontrib><creatorcontrib>Yamasaki, Kei</creatorcontrib><creatorcontrib>Fukuda, Kazumasa</creatorcontrib><creatorcontrib>Naito, Keisuke</creatorcontrib><creatorcontrib>Akata, Kentarou</creatorcontrib><creatorcontrib>Nagata, Shuya</creatorcontrib><creatorcontrib>Ishimoto, Hiroshi</creatorcontrib><creatorcontrib>Taniguchi, Hatsumi</creatorcontrib><creatorcontrib>Mukae, Hiroshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noguchi, Shingo</au><au>Yatera, Kazuhiro</au><au>Kawanami, Toshinori</au><au>Yamasaki, Kei</au><au>Fukuda, Kazumasa</au><au>Naito, Keisuke</au><au>Akata, Kentarou</au><au>Nagata, Shuya</au><au>Ishimoto, Hiroshi</au><au>Taniguchi, Hatsumi</au><au>Mukae, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumonia and Empyema Caused by Streptococcus intermedius that Shows the Diagnostic Importance of Evaluating the Microbiota in the Lower Respiratory Tract</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>53</volume><issue>1</issue><spage>47</spage><epage>50</epage><pages>47-50</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>The bacterial species in the Streptococcus anginosus group (S. constellatus, S. anginosus, S. intermedius) are important causative pathogens of bacterial pneumonia, pulmonary abscesses and empyema. However, the bacteria in this group are primarily oral resident bacteria and unable to grow significantly on ordinary aerobic culture media. We experienced a case of pneumonia and empyema caused by Streptococcus intermedius detected using a 16S rRNA gene sequencing analysis of bronchoalveolar lavage fluid and pleural effusion, but not sputum. 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subjects | 16S ribosomal RNA gene Aged clone library sequencing Empyema, Pleural - complications Empyema, Pleural - diagnosis Empyema, Pleural - microbiology health care-associated pneumonia Humans Male Microbiota - physiology Pneumonia, Bacterial - complications Pneumonia, Bacterial - diagnosis Pneumonia, Bacterial - microbiology Respiratory Tract Infections - complications Respiratory Tract Infections - diagnosis Respiratory Tract Infections - microbiology Streptococcal Infections - complications Streptococcal Infections - diagnosis Streptococcus anginosus Streptococcus intermedius Streptococcus intermedius - isolation & purification |
title | Pneumonia and Empyema Caused by Streptococcus intermedius that Shows the Diagnostic Importance of Evaluating the Microbiota in the Lower Respiratory Tract |
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