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Streptococcus Constellatus에 의한 농흉
류용석 ( Yong Suc Ryu ),이재형 ( Jae Hyung Lee ),이병훈 ( Byung Hoon Lee ),김상훈 ( Sang Hoon Kim ),양동진 ( Dong Jin Yang ),류상렬 ( Sang Ryol Ryu ),유연화 ( Yun Hwa Yu ),정미연 ( Mi Youn Cheong ),재정돈 ( Jeong Don Chae ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.6
Streptococcus constellatus (S. constellatus) is a commensal microorganism belonging to the Streptococcus milleri group, but may cause infections in different locations in immunocompromised patients. The infection of S. constellatus has high mortality and morbidity due to its tendency to cause abscesses in infected patients, which require immediate surgical drainage for effective treatment. We report on a 72-year-old woman with end stage renal disease, who suffered from dyspnea and general weakness that had developed over 7 days. Chest CT showed loculated pleural effusion. S. constellatus was cultured from exudative pleural effusions and confirmed by an analysis of 16S rRNA sequence. The patient was treated with drainage of pleural effusion and piperacillin/tazobactam for 5 weeks.