Online first
Current issue
Archive
Special Issues
About the Journal
Publication Ethics
Anti-Plagiarism system
Instructions for Authors
Instructions for Reviewers
Editorial Board
Editorial Office
Contact
Reviewers
All Reviewers
2024
2023
2022
2021
2020
2019
2018
2017
2016
General Data Protection Regulation (RODO)
CASE REPORT
Streptococcus constellatus as an aetiological factor of extensive neck phlegmon complicated by sepsis – case study
1
Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznan, Poland
2
Central Microbiological Laboratory, Heliodor Święcicki University Hospital, Poznań, Poland
3
Department of Genetics and Pharmaceutical Microbiology, University of Medical Sciences, Poznań, Poland
4
Department of Anaesthesiology, Intensive Care and Pain Management, Heliodor Święcicki Clinical Hospital, University of Medical Sciences, Poznan, Poland
Corresponding author
Joanna Bilska-Stokłosa
Poznan University of Medical Sciences. Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, Przybyszewskiego 49, 60-355 Poznań, Poland
Poznan University of Medical Sciences. Department of Maxillofacial Surgery, Heliodor Święcicki Clinical Hospital, Przybyszewskiego 49, 60-355 Poznań, Poland
Ann Agric Environ Med. 2019;26(2):252-255
KEYWORDS
intensive care unitzoonosesinfection of deep cervical tissuesStreptococcus constellatusneck phlegmon
TOPICS
ABSTRACT
Introduction. Streptococcus constellatus are opportunistic microorganisms. When immunocompromised patients with concomitant systemic diseases are infected with S.constellatus, the bacteria may cause sepsis.
Case study. A patient was admitted to hospital due to septic shock and multi-organ dysfunction in the course of neck phlegmon. The microbiological system identified S. constellatus in the patient who worked as a dog groomer. These facts confirmed that this aetiological factor may have caused such a serious infection because S. constellatus is a bacterial species found in dogs. It is most likely that the bacteria colonised the patient. Zoonotic transmission of microorganisms is particularly important for the development of infections in dogs and humans. Knowledge about how to treat deep cervical infections is necessary in the daily practice of a maxillofacial surgeon. The right antibiotic can applied only when the strain causing the infection has been identified.
REFERENCES (15)
1.
Ruoff KL. Streptococcus anginosus (“Streptococcus milleri”): the unrecognized pathogen. Clin Microbiol Rev. 1988; 1: 102–108.
2.
Wein Ping Ng K, Mukhopadhyay A. Streptococcus constellatus bacteremia causing septic shock following tooth extraction: a case report. Cases J. 2009; 2: 6493.
3.
Whiley RA, Beighton D, Winstanley TG, Fraser HY, Hardie JM. Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (the Streptococcus milleri group): association with different body sites and clinical infections. J Clin Microbiol. 1992; 30: 243–244.
4.
Bantar C, Fernandez Caniga L, Relloso S, Lanza A, Bianchini H, Smayevsky J. Species belonging to the “Streptococcus milleri” group: anti-microbial susceptibility and comparative prevalence in significant clinical specimens. J Clin Microbiol. 1996; 34: 2020–2022.
5.
Clarridge JE, III, Attorri S, Musher DM, Hebert J, Dunbar S. Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (“Streptococcus milleri group”) are of different clinical importance and are not equally associated with abscess. Clin Infect Dis. 2001; 32: 1511–1515. doi: 10.1086/320163.
6.
Kawczyński M, Amernik K, Kelar I, Jaworowska E, Paradowska-Opałka B. Zakażenia ropne głębokich przestrzeni szyi w Klinice Otolaryngologii PUM w okresie ostatnich 5 lat. Pol. Przegląd Otorynolaryngol 2012; 4 (1): 314–318.
7.
Lee YQ, Kanagalingam J. Bacteriology of deep neck abscesses: a retrospective review of 96 consecutive cases. Singapore Med J. 2011; 52: 351–5.
8.
Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998–2001). Eur Arch Otorhinolaryngol. 2003; 260: 576–9.
9.
Whiley RA, Hall LMC, Hardie JM, Beighton D. A study of small-colony, beta-haemolytic, Lancefield group C streptococci within the anginosus group: description of Streptococcus constellatus subsp. pharyngis subsp. nov., associated with the human throat and pharyngitis. Int J Syst Bacteriol. 1999; Oct; 49 Pt 4: 1443–9.
10.
Bancescu G, Carmen D, Bancescu A, Hirjau M. The Susceptibility To Antibiotics Of Some Streptococcus Constellatus Strains Isolated From Odontogenic Infections Farmacia 2016; 64(1): 58–60.
11.
Faden H, Mohmand M. Infections Associated With Streptococcus Constellatus in Children The Pediatric Infectious Disease J. 2017; 36(11): 1099–1100.
12.
Osborn TM, Assael LA, Bell RB. Deep space neck infection: principles of surgical management. Oral Maxillofac Surg Clin North Am. 2008; 20(3): 353–65.
13.
Karkos PD, Leong SC, Beer H, Apostolidou MT, Panarese A. Challenging airways in deep neck space infections. Am J Otolaryngol. 2007; 28: 415–8.
14.
Markowski J, Dziubdziela W, Wardas P, Piotrowska A, Sowińska-Krzyżanowska I, Gierek T, et al. Ropowice głowy i szyi – diagnostyka i leczenie – obserwacje własne. Otolaryngol Pol. 2012; 66: 207–13.
15.
Cheng Z, Yu J, Xiao L, Lian Z, Wei Y, Wang J. Deep neck infection: clinical analyses of 95 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Sep; 50(9): 769–72.
Share
RELATED ARTICLE
| eISSN: | 1898-2263 |
| ISSN: | 1232-1966 |
Generation of the DOI (Digital Object Identifier) - task financed under the agreement No NrRCN/SP/0532/2021/1 by the Minister of Science and Higher
© 2006-2025 Journal hosting platform by Bentus
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
