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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

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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