{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:11:57Z","timestamp":1789143117852,"version":"build-2803163510"},"reference-count":5,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,15]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>We report a case of a 54-year-old immunocompetent male who had lung abscess secondary to <jats:italic>Streptococcus intermedius<\/jats:italic> that led to discitis by contiguous spread of infection. He initially presented with constant chest pain for 6 weeks that radiated to lower back, with no fever, chills or weight loss. He denied smoking cigarettes, alcohol use or any illicit drug. On investigation, a mass was identified on the posterior medial aspect of the right lower lobe with direct infiltration into right side of the T5\u2013T6 vertebral bodies. Histopathology identified organising pneumonia with abscess. Tissue cultures showed <jats:italic>S. intermedius<\/jats:italic>, and were negative for other microorganisms. This case highlights a rare presentation of <jats:italic>S<\/jats:italic>. <jats:italic>intermedius<\/jats:italic> discitis by contiguous spread of infection from posterior right lower lobe lung abscess. <jats:italic>S<\/jats:italic>. <jats:italic>intermedius<\/jats:italic> usually occurs in older patients with pulmonary infections complicated with pleural effusion or lung abscess, but can present in young patients with no clear symptoms of lung infection, like our patient.<\/jats:p>","DOI":"10.1136\/bcr-2021-245675","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T13:10:42Z","timestamp":1635772242000},"page":"e245675","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Streptococcus intermedius: unusual presentation and complication of lung abscess"],"prefix":"10.1136","volume":"14","author":[{"given":"Nouraldeen","family":"Manasrah","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushmita","family":"Nanja Reddy","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Sinai Grace Hospital, Detroit, Michigan, USA"},{"name":"Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0685-8652","authenticated-orcid":false,"given":"Ali","family":"Al Sbihi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Sinai Grace Hospital, Detroit, Michigan, USA"},{"name":"Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasif","family":"Hafeez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Sinai Grace Hospital, Detroit, Michigan, USA"},{"name":"Wayne State University, Detroit, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,11,1]]},"reference":[{"key":"2025082702231267000_14.11.e245675.1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.53.0971"},{"key":"2025082702231267000_14.11.e245675.2","doi-asserted-by":"crossref","first-page":"S238","DOI":"10.1093\/clind\/21.Supplement_3.S238","article-title":"The Streptococcus milleri group as a cause of pulmonary infections","volume":"21 Suppl 3","author":"Shinzato","year":"1995","journal-title":"Clin Infect Dis"},{"key":"2025082702231267000_14.11.e245675.3","doi-asserted-by":"crossref","first-page":"3065","DOI":"10.1017\/S0950268817001807","article-title":"The pyogenic potential of the different Streptococcus anginosus group bacterial species: retrospective cohort study","volume":"145","author":"Kobo","year":"2017","journal-title":"Epidemiol Infect"},{"key":"2025082702231267000_14.11.e245675.4","doi-asserted-by":"publisher","DOI":"10.1136\/thx.50.10.1093"},{"key":"2025082702231267000_14.11.e245675.5","unstructured":". Available: https:\/\/hardydiagnostics.com\/wpcontent\/uploads\/2016\/05\/Streptococcus-anginosis-group-by-Kerry-Pierce.pdf"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245675","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:23:18Z","timestamp":1756286598000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":5,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,1]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-245675"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245675","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}