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Article in Japanese
Abstract
Case Report
A case of necrotizing pneumonia due to Streptococcus pneumoniae following influenza infection
Kosuke Itoa Kazuki Matsudaa Ryo Suetakea Toshiaki Utsunomiyab Hisayuki Osoredaa Haruhito Kameic
aDepartment of Respiratory Medicine, National Hospital Organization Yamaguchi Ube Medical Center
bDepartment of Medical Oncology, National Hospital Organization Yamaguchi Ube Medical Center
cDepartment of Internal Medicine, National Hospital Organization Yamaguchi Ube Medical Center
ABSTRACT
Necrotizing pneumonia due to Streptococcus pneumoniae following influenza infection is rare in an adult. A previously healthy 32-year-old woman was first diagnosed with type-A influenza and treated with peramivir in another clinic. After five days, she was diagnosed with pneumococcal pneumonia and admitted to another hospital. Chest X-ray revealed left pleural effusion, with pleural fluid glucose at 0 mg/dL and a pH of 7.0. She was treated solely with antibiotics for several days. After she was transferred to our hospital, a chest drainage tube was inserted and the left lung re-expanded. Chest computed tomography (CT) showed severe bilateral necrotizing pneumonia with destruction of lung parenchyma.
KEYWORDS
Necrotizing pneumonia Streptococcus pneumoniae Influenza
Received 20 Apr 2021 ／ Accepted 26 Jul 2021
AJRS, 10(5): 402-406, 2021
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