막 증식성 사구체 신염 환아에서 발생한 F군 연구균 혈증 1례

A Case of Group F Streptococcal Bacteremia in MPGN Patient

Streptococcus milleri Group Bacteria(SMG)는 인간의 정상 세균총이면서 농양 형성을 잘 하는 병원균으로도 작용하지만 그 병원성에 대해서는 잘 알려져 있지 않다. 따라서 SMG 감염시 경각심을 갖고, 적절한 치료에도 증상이 지속될 때에는 병변 이외의 다른 곳에 농양이 형성되어 있는지 반드시 살펴보아야 한다.

Streptococcus milleri Goup Bacteria(SMG) comprise three species, Streptococcus anginosus, Streptococcus intermedius, Streptococcus constellatus. Although they are commensal organism, they can be pathogenic. SMG can be aggressive pathogen in the head and neck with a propensity for abscess formation and local extension of the infection. SMG is culturally and biochemically variable, which makes it hard for the clinicians to recognize it. Hence, it seems that this organism has been relatively neglected. Most of the Lancefield F streptococci are SMG. We report one patient who had Group F streptococcal bacteremia and subdural abscess. According to his medical history, he was diagnosed as membranoproliperative glomerulonephritis three years ago. He complained headache although he was treated by appropiate antibiotics. Brain CT was used as a tool to identify the brain abscess. He had surgical drainage and was treated with IV antibiotics postoperatively.