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
Hauptverfasser: Noguchi, Shingo, Yatera, Kazuhiro, Kawanami, Toshinori, Yamasaki, Kei, Fukuda, Kazumasa, Naito, Keisuke, Akata, Kentarou, Nagata, Shuya, Ishimoto, Hiroshi, Taniguchi, Hatsumi, Mukae, Hiroshi
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container_issue 1
container_start_page 47
container_title Internal Medicine
container_volume 53
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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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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