Abstract
Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations. We report a 59 years old male with severe sequelae of a previous cerebrovascular accident that consulted in the emergency room for fever of 15 days of evolution. A right empyema was diagnosed. The bacteriological culture of the effusion disclosed the presence of Streptococcus constellatus and two anaerobic strains (Prevotella intermedia and Fusobacterium urealyticus). The patient was treated with a pleural drainage and received ceftriaxone and clindamycin during six weeks. He was discharged in good conditions and is asymptomatic after eight months of follow up.
Highlights
Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations
El cultivo fue positivo para Streptococcus constellatus y especies de anaerobios (Prevotella intermedia y Fusobacterium urealyticus)
El tratamiento fundamental de las infecciones por Streptocuccus constellatus sigue siendo la penicilina o las cefalosporinas de 3a generación, asociando fármacos con actividad anaerobicida, si coexiste infección por anaerobios como en el caso de nuestro paciente
Summary
Streptococcus constellatus is a commensal microorganism in man but may cause infections in different locations. El empiema pleural causado por Streptococcus constellatus, si bien sigue siendo una infección rara, probablemente está aumentando en la actualidad.
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