%0 Journal Article
%T Neumon¨ªa grave por Streptococcus pyogenes: Reporte de un caso
%A Sald¨ªas P
%A Fernando
%A Y¨¢£¿ez V
%A Jorge
%A Sald¨ªas H
%A Velia
%A D¨ªaz P
%A Orlando
%J Revista m¨¦dica de Chile
%D 2008
%I Sociedad M¨¦dica de Santiago
%R 10.4067/S0034-98872008001200009
%X during the past two decades there has been a resurgence ofinvasive group a streptococcal (gas) infection, specially pneumonia and bacteremia. we report a 35 year-old female previously subjected to a thyroidectomy for a thyroid c¨¢ncer, that five days after operation, presented with a severe community-acquired pneumonia caused by streptococcus pyogenes (lancefield group a streptococcus) that was complicated by acute respiratory failure and septic shock. she was treated with a combination of 3 g/day of cefotaxime and 1.8 g/day of clindamycin with a good clinical response and discharged from the hospital in good conditions. although this microorganism is an uncommon cause of community-acquired pneumonia, previously healthy individuals may be infected and the clinical course may be fulminant. patients with invasive gas infection admitted to icu have a high mortality rate. treatment of choice of group a streptococcal infection is penicillin. however, clindamycin should be added in severe infections .
%K clindamycin
%K pneumonia
%K bacterial
%K streptococcus pyogenes.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0034-98872008001200009&lng=en&nrm=iso&tlng=en