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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.
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