Abstract

PACHA, Andrea et al. Group B streptococcal necrotizing pneumonia in a diabetic adult patient. Rev. argent. microbiol. [online]. 2017, vol.49, n.2, pp.139-141. ISSN 0325-7541.  http://dx.doi.org/10.1016/j.ram.2016.09.005.

The aim of this report is to describe a rare case of necrotizing pneumonia due to group B Streptococcus serotype III in a relatively young male adult (48 years old) suffering from diabetes. The organism was isolated from his pleural fluid and was only resistant to tetracycline. The patient first received ceftazidime (2 g/8 h i.v.) + clindamycin (300 mg/8 h) for 18 days and then he was discharged home and orally treated with amoxicillin clavulanic acid (1 g/12 h) for 23 days with an uneventful evolution. As in the cases of invasive infection by Streptococcus pyogenes, clindamycin could prevent streptococcal toxic shock syndrome.

Keywords : Necrotizing pneumonia; Group B Streptococcus; Diabetes.