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Case Report
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| A fatal case of empyema due to Streptococcus intermedius associated pneumonia masquerading as acute pancreatitis in an otherwise healthy middle-aged woman | ||||||
| Anthea B. Mahesan Paul1, Lary Simms1, Abraham Ebenezer Paul1, Jojo Yorke1, Christopher Schmidseder1 | ||||||
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1Clark County Coroners Office, 1704 Pinto Lane, Las Vegas, Nevada, USA.
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| How to cite this article |
| Paul ABM, Simms L, Paul AE, Yorke J, Schmidseder C. A fatal case of empyema due to Streptococcus intermedius associated pneumonia masquerading as acute pancreatitis in an otherwise healthy middle-aged woman. Int J Case Rep Images 2016;7(8):524–528. |
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Abstract
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Introduction:
Members of the S. milleri group Streptococcus intermedius, Streptococcus anginosus, and Streptococcus constellatus intermedius, are important pathogens implicated in respiratory illnesses such as bacterial pneumonia, pulmonary abscesses and empyema. Diagnosis of respiratory illnesses is largely dependent on accurate identification of symptomology and physical exam as radiological evidence is not always present.
Case Report: In this case report, we present a fatal case of Streptococcus intermedius associated pneumonia causing empyema with an unusual constellation of symptoms and laboratory tests masquerading as acute pancreatitis in an otherwise healthy middle-aged woman. Conclusion: Our case adds to literature a novel clinical and laboratory presentation of S. intermedius empyema and the potentially fatal ramifications if not accurately diagnosed in an otherwise healthy woman. | |
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Keywords:
Empyema, Pancreatitis, Pneumonia, Streptococcus intermedius
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Author Contributions
Anthea B. Mahesan Paul – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Lary Simms – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Abraham Ebenezer Paul – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Jojo Yorke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Christopher Schmidseder – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Anthea B. Mahesan Paul et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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