Bacteremia Caused by Group G Streptococci, Taiwan

Liao, Chun-Hsing; Liu, Liang-Chun; Huang, Yu-Tsung; Teng, Lee‐Jene; Hsueh, Po-Ren

doi:10.3201/eid1405.070130

Cited by 55 publications

(60 citation statements)

References 15 publications

(17 reference statements)

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“…Person-to-person transmission routes of SDSE should be determined in detail by future surveillance. The prevalence of invasive SDSE infection has increased over the years elsewhere in Asia [6,36], in Europe [37][38][39][40][41][42][43], and in America [5,31,44], as well as in Japan. As for age distribution, population-based surveillance carried out by Broyles et al (n = 212) [5] found that most patients with invasive diseases (59.0%) were adults less than 65 years old, while the majority in our study (74.0%) were at least 65 years old [3].…”

Section: Emergence Of Invasive Sdse Infectionsmentioning

confidence: 98%

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Invasive infection caused by Streptococcus dysgalactiae subsp. equisimilis: characteristics of strains and clinical features

Takahashi

Ubukata

Watanabe

2011

Journal of Infection and Chemotherapy

100

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Section: Emergence Of Invasive Sdse Infectionsmentioning

confidence: 98%

“…Beginning around 2000, invasive infections such as bacteremia caused by SDSE have been reported increasingly worldwide, as well as those caused by GAS and GBS [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Invasive infection caused by Streptococcus dysgalactiae subsp. equisimilis: characteristics of strains and clinical features

Takahashi

Ubukata

Watanabe

2011

Journal of Infection and Chemotherapy

100

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“…Some works reported recurrent bacteremia induced by SDSE [55]. There is a description of toxic shock syndrome in a neonate that took place 12 h after birth and was caused by a strain having the same emm type and PFGE pattern as the maternal one, which suggests a possibility of SDSE carrier-state in pregnant women and vertical transmission of the microorganism to a newborn, as in the case of S. agalactiae [53].…”

Section: Introductionmentioning

confidence: 99%

Soft tissue infection caused by Streptococcus dysgalactiae subsp. equisimilis possessing group Aantigen: a and review of the literature

Karyński¹,

Letowska²,

Grzesiowski³

2012

pdia

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“…In one of the two cases the causative GAS was found to be Streptococcus equisimilis (1), commonly carrying a group C or G carbohydrate antigen, and in the other case, an intravenous drug abuser had recurrent septic arthritis and bacteremia with a GAS isolate not further classified (14). In contrast to the lack of reports of recurrent bacteremia with S. pyogenes, reports of beta-hemolytic streptococci of groups C and G, which share many features with S. pyogenes, causing recurrent bacteremia are numerous (4,10,13,16,17).The isolates from the two episodes of bacteremic infection were classified as GAS by their typical appearance by Gram staining and on blood agar, as well as by latex agglutination, according to standard laboratory procedures. T typing, as described in reference 11, identified both isolates as T28.…”

mentioning

confidence: 99%

Recurrent Sepsis Caused by Streptococcus pyogenes

Rasmussen

2011

J Clin Microbiol

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I report that a 75-year-old man with severe atherosclerosis experienced two episodes of bacteremia with Streptococcus pyogenes of type emm87. Recurrent sepsis with S. pyogenes is extremely rare, and a foot ulcer was the suspected point of entry. The patient did not develop opsonizing antibodies to the isolate. CASE REPORTThe patient, a 75-year-old man, presented in March 2010 at our hospital with a 24-hour history of disorientation and fever. He was a smoker and had diabetes mellitus type II, postapoplectic epilepsy, and claudicatio intermittens. He has had a mechanical aortic valve since 1989, suffered a cerebral infarction in 2002, and was subjected to coronary artery bypass grafting in 2003. Upon examination, a temperature of 38.1°C and tachycardia were noted, but other vital signs were normal. Neurological examination revealed left-sided finger-nose dysmetria. A tender redness around the left big toe was noted. The white blood cell count (WBC) was 9.8 ϫ 10 9 cells/liter, and the C-reactive protein (CRP) level was 7 mg/liter. A computed tomography (CT) scan of the brain showed no signs of bleeding or ischemia, though several older lesions were seen. The chest X ray was unremarkable. The patient received empirical treatment with cefotaxime. Both sets of blood cultures (BacT/ Alert; bioMérieux, Durham, NC) grew group A streptococci (GAS), as did the culture from the infected toe, and the treatment was changed to penicillin G. In addition, the culture from the toe grew Staphylococcus aureus, and the urine grew Escherichia coli. Transesophageal echocardiography did not show signs of prosthesis endocarditis, and the patient improved over the following days, with less disorientation and fever. A maximum CRP level of 49 mg/liter was noted. The bacteremia was judged to be secondary to the wound on the toe, and treatment with penicillin G (3 g three times a day [t.i.d.]) was continued for 6 days, followed by 14 days of clindamycin (300 mg t.i.d.).In April 2010, the patient suffered a cerebral infarction, and in May 2010, he reappeared in the emergency room. He had experienced an epileptic seizure and was febrile. He was lucid but not entirely oriented. Tachycardia and an elevated breathing frequency were noted, and his temperature was 40.1°C. The tip of the left big toe was necrotic, but it was not overtly infected. Otherwise, the physical examination was unremarkable. The WBC was 17 ϫ 10 9 cells/liter, and the CRP level was 19 mg/liter. The chest X ray was normal. Treatment with cefotaxime was instituted, and the patient became apyrexic within 24 h. Both blood cultures were positive for GAS, as was a culture of a small wound on the left foot. Treatment was changed to penicillin G, and a new transesophageal echocardiography could not reveal signs of endocarditis. Intravenous treatment was given for 7 days, followed by penicillin V for 14 days.In July 2010, the patient experienced increased pains in both of his feet. Upon examination, the feet were cold, and no pulses could be felt. The wound showed increased signs of ...

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Bacteremia Caused by Group G Streptococci, Taiwan

Cited by 55 publications

References 15 publications

Invasive infection caused by Streptococcus dysgalactiae subsp. equisimilis: characteristics of strains and clinical features

Invasive infection caused by Streptococcus dysgalactiae subsp. equisimilis: characteristics of strains and clinical features

Soft tissue infection caused by Streptococcus dysgalactiae subsp. equisimilis possessing group Aantigen: a and review of the literature

Recurrent Sepsis Caused by Streptococcus pyogenes

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