Dilek DİLLİ, Banu AYDIN, Sara EROL, Ayşegül ZENCİROĞLU, Nurullah OKUMUŞ, Nurdan DİNLEN

Pleural empyema due to group A beta-hemolytic streptococci in a newborn: Case report

Plevral ampiyem pnömoninin nadir ve ciddi bir komplikasyonudur. Çocuklarda sık görülmesine rağmen yenidoğanda plevral ampiyemle ilgili az sayıda veri bulunmaktadır. Bu yazıda, erken başlangıçlı neonatal pnömoniyi takiben gelişen bir plevral ampiyem olgusu sunuldu. Etken mikroorganizma olasılıkla lohusalık döneminde infeksiyonu olan anneden kaynaklanan grup A beta-hemolitik streptokok (GAS veya Streptococcus pyogenes) idi. Annede doğumdan iki gün sonra baş- layan ateş, pelvik ağrı, anormal vajinal akıntı ve serum antistreptolizin O titresi yüksekliği streptokokal infeksiyonu destekledi. Hasta plevral drenaj ve sinerjistik antibiyotik tedavisiyle başarılı bir şekilde tedavi edildi.

Bir yenidoğanda A grubu beta-hemolitik streptokok ilişkili plevral ampiyem: Olgu sunumu

Pleural empyema is a rare and serious complication of pneumonia. Although it is frequently seen in children, there are only a few reports about pleural empyema in newborn infants. Here we report a case of early onset neonatal pneumonia complicated with pleural empyema. The causal microorganism was group A beta-hemolytic streptococci (GAS or Streptococcus pyogenes) presumably originating from the mother, who had a puerperal infection. The mother had fever, pelvic pain, and abnormal vaginal discharge two days after delivery and subsequent increase in the antistreptolysin O titer, suggesting streptococcus infection. The patient was successfully treated by pleural drainage in addition to synergistic antimicrobial therapy.

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