Streptococcus intermedius Causing Necrotizing Pneumonia in an Immune Competent Female: A Case Report and Literature Review

Table 2

Published cases of Streptococcus intermedius data.

Case	Our case	1 [8]	2 [9]	3 [10]
Age	52	79	55	52
Gender	F	M	M	M
Radiological diagnosis	Bilateral pneumonia, loculated right pleural effusion	Left upper lobe pneumonia and left pleural empyema	Right upper lobe pneumonia, bilateral brain abscesses	Loculated left pleural effusion
Duration of respiratory symptoms	6 weeks	—	10 days	5 months
Past medical history	Asthma	Surgical drainage of right empyema 4 months prior	Alcoholic liver cirrhosis	Hypertension, hyperlipidemia, and poor dental hygiene
Smoker status	Ex-smoker	Ex-smoker	—	Active smoker
Systolic blood pressure (mmHg)	113	104	—	125
Heart rate	110	118	—	93
Respiratory rate	36	—	—	—
Oxygen saturations	84% on room air	93% on 3 L	—	—
Temperature	99.8°F (37.7°C)	101.1°F (38.4°C)	101.3°F (38.5°C)	98.0°F (36.7°C)
Initial WBC	29.2	39.6	—	Normal (no number given)
Initial empiric antibiotics	Aztreonam, vancomycin + azithromycin	Meropenem	Ceftriaxone + ampicillin	Levofloxacin + clindamycin
Targeted antibiotics	Ceftriaxone	Meropenem	—	Levofloxacin
Total duration of antibiotics	14 days	14 days	—	24
Surgical intervention	Decortication, resection of right upper lung lobe and chest tube insertion	Left pleurectomy and chest tube insertion	Video-assisted thoracoscopic biopsy	Thoracocentesis and chest tube insertion
Outcome	Survived	Survived	Died	Survived