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Lung Abscess With Group A ß-Hemolytic Streptococcus: Case Report and Review

Lung Abscess With Group A ß-Hemolytic Streptococcus: Case Report and Review Abstract Invasive infections with group A βhemolytic streptococci became less common in the early 20th century prior to the widespread use of antibiotics. From the early 1960s until the mid 1980s, reports of invasive infections continued to decline. In the past 5 years, there has been a resurgence of invasive infections and, possibly, also of postinfectious sequelae from this organism. We describe a patient with lung abscess from group A βhemolytic Streptococcus. Lung abscess from hemolytic streptococci was not uncommon in Osler's day, but it was not reported in the English-language literature for 20 years until recently. Clinicians should be aware of the broad and growing spectrum of infections with this pathogen. (Arch Intern Med. 1991;151:1655-1657) References 1. Chapin CV. Changes in type of contagious disease: with special reference to smallpox and scarlet fever . J Prev Med . 1926;1:1-29. 2. Quinn RW. Epidemiology of group A streptococcal infections: their changing frequency and severity . Yale JBiol Med . 1982;55:265-270. 3. Massell BF, Chute CG, Walker AM, Kurland GS. Penicillin and the marked decrease in morbidity and mortality from rheumatic fever in the United States . N Engl J Med . 1988;318:280-286.Crossref 4. Dobson SRM. Group A streptococci revisited . Arch Dis Child . 1989;64:977-980.Crossref 5. Hosier DM, Craenen JM, Teske DW, Wheller JJ. Resurgence of acute rheumatic fever . AJDC . 1987;141:730-733. 6. Wald ER, Dashefsky B, Feidt C, Chiponis D, Byers C. Acute rheumatic fever in western Pennsylvania and the tristate area . Pediatrics . 1987;80:371-374. 7. Congeni B, Rizzo C, Congeni J, Sreenivasan VV. Outbreak of acute rheumatic fever in northeast Ohio . J Pediatr . 1987;111:176-179.Crossref 8. Veasy LG, Wiedmeier SE, Orsmond GS, et al. Resurgence of acute rheumatic fever in the intermountain area of the United States . N Engl J Med . 1987;316:421-427.Crossref 9. Sampson GL, Williams RG, House MD. et al. Acute rheumatic fever among Army trainees: Fort Leonard Wood, Missouri, 1987-1988, MMWR . 1989;37:519-522. 10. Voeck C, Armstrong N, Trail F. et al. Group A beta-hemolytic streptococcal bacteremia: Colorado, 1989 . MMWR . 1990;39:3-11. 11. Cone LA, Woodard DR, Schlievert PM, Tomory GS. Clinical and bacteriologic observations of a toxic shock—like syndrome due to Streptococcus pyogenes . N Engl J Med . 1987;317:146-149.Crossref 12. Stevens DL, Tanner MH, Winship J, et al. Severe group A streptococcal infections associated with a toxic shock—like syndrome and scarlet fever toxin A . N Engl J Med . 1989;321:1-7.Crossref 13. Ludlam H, Cookson B. Scrum kidney: epidemic pyoderma caused by a nephritigenic Streptococcus pyogenes in a rugby team . Lancet . 1986;2:331-333.Crossref 14. Barg NL, Kish MA, Kauffman CA, Supena RB. Group A streptococcal bacteremia in intravenous drug abusers . Am J Med . 1985;78:569-574.Crossref 15. Lentnek AL, Giger 0,O'Rourke E. Group A beta-hemolytic streptococcal bacteremia and intravenous substance abuse: a growing clinical problem? Arch Intern Med . 1990;150:89-93.Crossref 16. Boyce JM. Severe streptococcal axillary lymphadenitis . N Engl J Med . 1990;323:655-658.Crossref 17. Berg U, Bygdeman S, Henningsson A, Nystrom B, Tunell R. An outbreak of group A streptococcal infection in a maternity unit . J Hosp Infect . 1982;3:333-339.Crossref 18. Claesson BE, Claesson UL. An outbreak of endometritis in a maternity unit caused by spread of group A streptococci from a showerhead . J Hosp Infect . 1985;6:304-311.Crossref 19. Nelson JD, Dillon HC Jr, Howard JB. A prolonged nursery epidemic associated with a newly recognized type of group A Streptococcus . J Pediatr . 1976;89:792-796.Crossref 20. Lehtonen OP, Kero P, Ruuskanen O, Gaworzewska ET, Hollo O, Erkkola R, Salmi T. A nursery outbreak of group A streptococcal infection . J Infect . 1987;14:263-270.Crossref 21. Osler W. The Principles and Practice of Medicine . New York, NY: Appleton; 1892. 22. Keefer CS, Rantz LA, Rammelkamp CH. Hemolytic streptococcal pneumonia and empyema: a study of 55 cases with special reference to treatment . Ann Intern Med . 1941;14:1533-1550.Crossref 23. Brasilier LJ, Bistrong HW, Spence WF. Streptococcal pneumonia: recent outbreaks in military recruit populations . Am J Med . 1968;44:580-589.Crossref 24. McMurray JJ, Fraser DM, Brogan O. Fatal Streptococcus pyogenes pneumonia . J R Soc Med . 1987;80:525-526. 25. McIntyre HD, Armstrong JG, Mitchell CA. Streptococcus pyogenes pneumonia with abscess formation . Aust N Z J Med . 1989;19:248-249.Crossref 26. Black PH, Swartz MN, Sharp JT, Kunz LJ, Stokes J, McFarland RB. Severe streptococcal disease: observations during an epidemic occurring in southern New England, 1958-1959 . N Engl J Med . 1961;264:898-903.Crossref 27. Keefer CS, Ingelfinger FJ, Spink WW. Significance of hemolytic streptococcal bacteremia: a study of two hundred and forty-six patients . Arch Intern Med . 1937;60:1084-1097.Crossref 28. HenkelJS, Armstrong D, Blevins A, Moody MD. Group A beta-hemolytic Streptococcus bacteremia in a cancer hospital . JAMA . 1970;211:983-986.Crossref 29. Bibler MR, Rouan GW. Cryptogenic group A streptococcal bacteremia: experience at an urban general hospital and review of the literature . Rev Infect Dis . 1986;8:941-951.Crossref 30. Meyers JD. Infection in bone marrow transplant recipients . Am J Med . 1986;81( (1A) ):27-38.Crossref 31. Welte K, Keever CA, Levick J, et al. Interleukin-2 production and response to interleukin-2 by peripheral blood mononuclear cells from patients after bone marrow transplantation . Blood . 1987;70:1595-1603. 32. Schwartz B, Facklam RR, Breiman RF. Changing epidemiology of group A streptococcal infection in the USA . Lancet . 1990;336:1167-1171.Crossref 33. Kaplan EL, Johnson DR, Cleary PP. Group A streptococcal serotypes isolated from patients and sibling contacts during the resurgence of rheumatic fever in the United States in the mid-1980s . J Infect Dis . 1989;159:101-103.Crossref 34. Wittler RR, Yamada SM, Bass JW, Hamill R, Wiebe RA, Ascher DP. Penicillin tolerance and erythromycin resistance of group A beta-hemolytic streptococci in Hawaii and the Philippines . AJDC . 1990;144:587-589. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Lung Abscess With Group A ß-Hemolytic Streptococcus: Case Report and Review

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References (38)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400080137027
Publisher site
See Article on Publisher Site

Abstract

Abstract Invasive infections with group A βhemolytic streptococci became less common in the early 20th century prior to the widespread use of antibiotics. From the early 1960s until the mid 1980s, reports of invasive infections continued to decline. In the past 5 years, there has been a resurgence of invasive infections and, possibly, also of postinfectious sequelae from this organism. We describe a patient with lung abscess from group A βhemolytic Streptococcus. Lung abscess from hemolytic streptococci was not uncommon in Osler's day, but it was not reported in the English-language literature for 20 years until recently. Clinicians should be aware of the broad and growing spectrum of infections with this pathogen. (Arch Intern Med. 1991;151:1655-1657) References 1. Chapin CV. Changes in type of contagious disease: with special reference to smallpox and scarlet fever . J Prev Med . 1926;1:1-29. 2. Quinn RW. Epidemiology of group A streptococcal infections: their changing frequency and severity . Yale JBiol Med . 1982;55:265-270. 3. Massell BF, Chute CG, Walker AM, Kurland GS. Penicillin and the marked decrease in morbidity and mortality from rheumatic fever in the United States . N Engl J Med . 1988;318:280-286.Crossref 4. Dobson SRM. Group A streptococci revisited . Arch Dis Child . 1989;64:977-980.Crossref 5. Hosier DM, Craenen JM, Teske DW, Wheller JJ. Resurgence of acute rheumatic fever . AJDC . 1987;141:730-733. 6. Wald ER, Dashefsky B, Feidt C, Chiponis D, Byers C. Acute rheumatic fever in western Pennsylvania and the tristate area . Pediatrics . 1987;80:371-374. 7. Congeni B, Rizzo C, Congeni J, Sreenivasan VV. Outbreak of acute rheumatic fever in northeast Ohio . J Pediatr . 1987;111:176-179.Crossref 8. Veasy LG, Wiedmeier SE, Orsmond GS, et al. Resurgence of acute rheumatic fever in the intermountain area of the United States . N Engl J Med . 1987;316:421-427.Crossref 9. Sampson GL, Williams RG, House MD. et al. Acute rheumatic fever among Army trainees: Fort Leonard Wood, Missouri, 1987-1988, MMWR . 1989;37:519-522. 10. Voeck C, Armstrong N, Trail F. et al. Group A beta-hemolytic streptococcal bacteremia: Colorado, 1989 . MMWR . 1990;39:3-11. 11. Cone LA, Woodard DR, Schlievert PM, Tomory GS. Clinical and bacteriologic observations of a toxic shock—like syndrome due to Streptococcus pyogenes . N Engl J Med . 1987;317:146-149.Crossref 12. Stevens DL, Tanner MH, Winship J, et al. Severe group A streptococcal infections associated with a toxic shock—like syndrome and scarlet fever toxin A . N Engl J Med . 1989;321:1-7.Crossref 13. Ludlam H, Cookson B. Scrum kidney: epidemic pyoderma caused by a nephritigenic Streptococcus pyogenes in a rugby team . Lancet . 1986;2:331-333.Crossref 14. Barg NL, Kish MA, Kauffman CA, Supena RB. Group A streptococcal bacteremia in intravenous drug abusers . Am J Med . 1985;78:569-574.Crossref 15. Lentnek AL, Giger 0,O'Rourke E. Group A beta-hemolytic streptococcal bacteremia and intravenous substance abuse: a growing clinical problem? Arch Intern Med . 1990;150:89-93.Crossref 16. Boyce JM. Severe streptococcal axillary lymphadenitis . N Engl J Med . 1990;323:655-658.Crossref 17. Berg U, Bygdeman S, Henningsson A, Nystrom B, Tunell R. An outbreak of group A streptococcal infection in a maternity unit . J Hosp Infect . 1982;3:333-339.Crossref 18. Claesson BE, Claesson UL. An outbreak of endometritis in a maternity unit caused by spread of group A streptococci from a showerhead . J Hosp Infect . 1985;6:304-311.Crossref 19. Nelson JD, Dillon HC Jr, Howard JB. A prolonged nursery epidemic associated with a newly recognized type of group A Streptococcus . J Pediatr . 1976;89:792-796.Crossref 20. Lehtonen OP, Kero P, Ruuskanen O, Gaworzewska ET, Hollo O, Erkkola R, Salmi T. A nursery outbreak of group A streptococcal infection . J Infect . 1987;14:263-270.Crossref 21. Osler W. The Principles and Practice of Medicine . New York, NY: Appleton; 1892. 22. Keefer CS, Rantz LA, Rammelkamp CH. Hemolytic streptococcal pneumonia and empyema: a study of 55 cases with special reference to treatment . Ann Intern Med . 1941;14:1533-1550.Crossref 23. Brasilier LJ, Bistrong HW, Spence WF. Streptococcal pneumonia: recent outbreaks in military recruit populations . Am J Med . 1968;44:580-589.Crossref 24. McMurray JJ, Fraser DM, Brogan O. Fatal Streptococcus pyogenes pneumonia . J R Soc Med . 1987;80:525-526. 25. McIntyre HD, Armstrong JG, Mitchell CA. Streptococcus pyogenes pneumonia with abscess formation . Aust N Z J Med . 1989;19:248-249.Crossref 26. Black PH, Swartz MN, Sharp JT, Kunz LJ, Stokes J, McFarland RB. Severe streptococcal disease: observations during an epidemic occurring in southern New England, 1958-1959 . N Engl J Med . 1961;264:898-903.Crossref 27. Keefer CS, Ingelfinger FJ, Spink WW. Significance of hemolytic streptococcal bacteremia: a study of two hundred and forty-six patients . Arch Intern Med . 1937;60:1084-1097.Crossref 28. HenkelJS, Armstrong D, Blevins A, Moody MD. Group A beta-hemolytic Streptococcus bacteremia in a cancer hospital . JAMA . 1970;211:983-986.Crossref 29. Bibler MR, Rouan GW. Cryptogenic group A streptococcal bacteremia: experience at an urban general hospital and review of the literature . Rev Infect Dis . 1986;8:941-951.Crossref 30. Meyers JD. Infection in bone marrow transplant recipients . Am J Med . 1986;81( (1A) ):27-38.Crossref 31. Welte K, Keever CA, Levick J, et al. Interleukin-2 production and response to interleukin-2 by peripheral blood mononuclear cells from patients after bone marrow transplantation . Blood . 1987;70:1595-1603. 32. Schwartz B, Facklam RR, Breiman RF. Changing epidemiology of group A streptococcal infection in the USA . Lancet . 1990;336:1167-1171.Crossref 33. Kaplan EL, Johnson DR, Cleary PP. Group A streptococcal serotypes isolated from patients and sibling contacts during the resurgence of rheumatic fever in the United States in the mid-1980s . J Infect Dis . 1989;159:101-103.Crossref 34. Wittler RR, Yamada SM, Bass JW, Hamill R, Wiebe RA, Ascher DP. Penicillin tolerance and erythromycin resistance of group A beta-hemolytic streptococci in Hawaii and the Philippines . AJDC . 1990;144:587-589.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1991

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