Streptococcus sanguis sepsis and meningitis: A complication of vacuum extraction

Heath, Richard E.; Rogers, Jack A.; Cheldelin, Lawrence V.; Killam, Allen P.

doi:10.1016/0002-9378(80)90261-6

Cited by 9 publications

(5 citation statements)

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“…The clinical significance of viridans and non-hemolytic streptococci from cerebrospinal fluid is dependent on the underlying disease. Extensive microbiological work-up of viridans streptococci isolated from CSF is not usually necessary, unless subacute endocarditis is suspected or the patient is immunocompromised, has had a trauma or a catheter [8][9][10][11][12][13]. Table 2 summarizes 32 cases of patients with culture proven iatrogenic meningitis caused by viridans streptococci reported in the English literature since 1950 [3,7,9,11,[14][15][16][17][18][19][20][21][22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Alpha-hemolytic streptococci: A major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and a review of the literature

1996

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Iatrogenic meningitis following lumbar puncture is a rare complication of myelography, spinal anesthesia, intrathecal chemotherapy, and epidural anesthesia. Sporadic cases and clusters of iatrogenic meningitis have been reported after intrathecal therapy, but most incidental cases are reported after myelography. Four cases of iatrogenic meningitis caused by viridans streptococci and a review of the literature are presented here. Observations and a case control study implicated a single anesthesiologist as the source. Probable cause of this cluster is non-observance of infection control measures as to the routine wearing of masks during the procedure. New infection control guidelines were implemented. A review of the literature on iatrogenic meningitis is given. Viridans streptococci have emerged as major pathogens of this complication. These findings underline the need to wear face masks since these bacteria are commensals of the oral cavity.

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Section: Discussionmentioning

confidence: 99%

Alpha-hemolytic streptococci: A major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and a review of the literature

1996

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“…In recent years, an increasing number of reports have indicated that streptococci other than Lancefield groups B and D are able to cause sepsis (4) and meningitis (11,14) in neonates. In our hospital, non-group D alpha-hemolytic streptococci have been isolated frequently since 1978 from the blood cultures of neonates with signs of sepsis.…”

Section: Discussionmentioning

confidence: 99%

“…The predominance of beta-hemolytic streptococci, the overwhelming majority of which belong to Lancefield group A, observed in the 1930s and 1940s had disappeared until the 1970s when Lancefield group B became the single most frequently observed pathogen in many U.S. hospitals. During the past few years, several reports have indicated that other streptococci, in particular, both group D (1, 2, 5, 10, 12) and non-group D (4,11,14) alpha-hemolytic strains, may occasionally cause sepsis or meningitis in neonates.…”

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confidence: 99%

Species distribution of non-group D alpha-hemolytic streptococci in maternal genital and neonatal blood cultures

Haffar¹,

Fuselier²,

Baker³

1983

J Clin Microbiol

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At our hospital (Jefferson Davis Hospital, Houston, Tex.) since 1979, non-group D alpha-hemolytic streptococci have been isolated with increasing frequency from neonatal blood cultures with clinical findings of sepsis. A total of 47 such isolates were identified to the species level by the scheme of Facklam and were compared with 57 genital isolates from 167 maternity patients. Among the genital isolates, S. sanguis II and S. MG-intermedius accounted for 53 and 28%, respectively, and both were significantly less common in neonatal cultures (23 and 11%, respectively; P less than 0.05). Among neonatal isolates, S. mitis was the single most frequent species (35%), in contrast to its rare occurrence in maternal cultures (3.4%; P less than 0.001). The disparity between the prevalence of S. mitis in neonatal compared with maternal cultures suggests that this species of non-group D alpha-hemolytic streptococci may have increased virulence in neonatal hosts.

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“…Viridans streptocococcal meningitis is often associated with cranial trauma and neurosurgical procedure; the most common species reported are Streptococcus mitis and Streptococcus salivarius (Cabellos et al, 1999;Cantey & Tamma, 2011;Carley, 1992;Enting et al, 1997). S. sanguinis is more often associated with dental structures (Johnson & Tunkel, 2005), and has also been described as a pathogen of meningitis following a neurosurgical procedure or vacuum extraction (Alba et al, 1994;Berga & Trierweiler, 1989;Heath et al, 1980). In our case, S. sanguinis may have survived the compromised host defence system to cause transient bacteraemia following oesophageal variceal bleeding and endoscopic manipulation, followed by invasion of the blood-brain barrier.…”

Section: Discussionmentioning

confidence: 99%

Streptococcus sanguinis meningitis following endoscopic ligation for oesophageal variceal haemorrhage

Liu

Lin

Lee

2013

Journal of Medical Microbiology

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We report a case of acute purulent meningitis caused by Streptococcus sanguinis after endoscopic ligation for oesophageal variceal haemorrhage in a cirrhotic patient without preceding symptoms of meningitis. Initial treatment with flomoxef failed. The patient was cured after 20 days of intravenous penicillin G. This uncommon infection due to S. sanguinis adds to the long list of infectious complications among patients with oesophageal variceal haemorrhage.

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Streptococcus sanguis sepsis and meningitis: A complication of vacuum extraction

Cited by 9 publications

References 1 publication

Alpha-hemolytic streptococci: A major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and a review of the literature

Alpha-hemolytic streptococci: A major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and a review of the literature

Species distribution of non-group D alpha-hemolytic streptococci in maternal genital and neonatal blood cultures

Streptococcus sanguinis meningitis following endoscopic ligation for oesophageal variceal haemorrhage

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