{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:27:14Z","timestamp":1762522034346,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,17]]},"abstract":"<jats:p>A 43-year-old male had progressive pleuritic left-sided chest tightness with shortness of breath. He had dental caries and tenderness on palpation of the left lateral chest. Complete blood count showed leucocytosis. CT scan of the chest with pulmonary emboli protocol showed multiple pulmonary nodules and nodular pleural thickening at left posterior lateral pleura. Forty-eight\u2009hours post CTPE scan, CT scan of the chest, abdomen and pelvis displayed right lower lobe consolidation and left-sided pleural effusion with superimposed compressive atelectasis. Ceftaroline intravenous was initiated, with CT-guided pigtail chest tube insertion. Pleural fluid later grew group F beta-haemolytic <jats:italic>Streptococcus anginosus<\/jats:italic>. Patient improved significantly and was discharged 11 days later with intravenous ertapenem. Patients with group F beta-haemolytic streptococci should be managed aggressively with early and accurate diagnosis, antibiotics, drainage and possible surgery.<\/jats:p>","DOI":"10.1136\/bcr-2017-219617","type":"journal-article","created":{"date-parts":[[2017,7,13]],"date-time":"2017-07-13T09:47:14Z","timestamp":1499939234000},"page":"bcr-2017-219617","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Rapid developing empyema by group F beta Streptococcus anginosus group"],"prefix":"10.1136","volume":"2017","author":[{"given":"Muhammad","family":"Azharuddin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dy","family":"Prudence","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prem Shanker","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,7,13]]},"reference":[{"key":"2025082802405794000_2017.jul13_2.bcr-2017-219617.1","doi-asserted-by":"crossref","first-page":"075","DOI":"10.1055\/s-0031-1273942","article-title":"Management of pleural effusion, empyema, and lung abscess","volume":"28","author":"Yu","year":"2011","journal-title":"Semin Intervent Radiol"},{"key":"2025082802405794000_2017.jul13_2.bcr-2017-219617.2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.40.8.626"},{"key":"2025082802405794000_2017.jul13_2.bcr-2017-219617.3","doi-asserted-by":"publisher","DOI":"10.1136\/thx.50.10.1093"},{"key":"2025082802405794000_2017.jul13_2.bcr-2017-219617.4","doi-asserted-by":"publisher","DOI":"10.1086\/522996"},{"key":"2025082802405794000_2017.jul13_2.bcr-2017-219617.5","doi-asserted-by":"crossref","unstructured":"Gogineni VK , Modrykamien A . 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