PRIMARY STREPTOCOCCUS PNEUMONIAE APPENDICITIS IN A CHILD: CASE REPORT AND REVIEW

2003 ◽  
Vol 22 (3) ◽  
pp. 282-284 ◽  
Author(s):  
Dan Miron ◽  
Igor Dashkovsky ◽  
Miriam Zuker ◽  
Sergio Szvalb ◽  
Carlos Cozacov
PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 378-381 ◽  
Author(s):  
Abel Paredes ◽  
Larry H. Taber ◽  
Martha D. Yow ◽  
Dorothy Clark ◽  
William Nathan

For more than 30 years, penicillin has been the agent of choice for pneumococcal infections. During this time the majority of strains of Streptococcus pneumoniae have been highly susceptible to penicillin. However, during the last ten years there have been sporadic reports of pneumococci with increased resistance to penicillin. The case report of an 18-month-old white boy with meningitis due to a strain of S. pneumoniae with increased resistance to penicillin is presented. The MIC of the organism to penicillin was 0.2µg/ml and the MBC 0.39µg/ml. The patient had normal immunity and no demonstrable sequestered focus of infection but failed to respond to appropriate doses of intravenous penicillin. Treatment with chloramphenicol caused a dramatic bacteriologic and clinical response. This experience reemphasizes the existence of pneumococcal strains of intermediate penicillin sensitivity and the importance of in vitro susceptibility tests.


2018 ◽  
Vol 4 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Ioana Raluca Chirteș ◽  
Dragos Florea ◽  
Carmen Chiriac ◽  
Oana Maria Mărginean ◽  
Cristina Mănășturean ◽  
...  

AbstractBackground: Known also as Osler’s triad, Austrian syndrome is a complex pathology which consists of pneumonia, meningitis and endocarditis, all caused by the haematogenous dissemination of Streptococcus pneumoniae. The multivalvular lesions are responsible for a severe and potential lethal outcome.Case report: The case of a 51-year-old female patient, with a past medical history of splenectomy, is presented. She developed bronchopneumonia, acute meningitis and infective endocarditis as a result of Streptococcus pneumoniae infection and subsequently developed multiple organ dysfunction syndromes which led to a fatal outcome. Bacteriological tests did not reveal the etiological agent. The histopathological examination showed a severe multivalvular endocarditis, while a PCR based molecular analysis from formalin fixed valvular tissue identified Streptococcus pneumoniae as the etiologic agent.Conclusions: The presented case shows a rare syndrome with a high risk of morbidity and mortality. Following the broad-spectrum treatment and intensive therapeutic support, the patient made unfavourable progress which raised differential diagnosis problems. In this case, the post-mortem diagnosis demonstrated multiple valvular lesions occurred as a result of endocarditis.


2013 ◽  
Vol 2 (2) ◽  
pp. 144-6 ◽  
Author(s):  
Selda Hancerli Torun ◽  
Bahar Calıskan ◽  
Ayper Somer ◽  
Nuran Salman ◽  
Nezahat Guler

2016 ◽  
Vol 102 (5) ◽  
Author(s):  
Olavegogeascoechea PA ◽  
Puyo CF ◽  
Serrano Riveros P ◽  
Núñez WD ◽  
Lomban E

1992 ◽  
Vol 3 (4) ◽  
pp. 185-188
Author(s):  
David R Burdge ◽  
Vincent C Woo ◽  
Patricia MA Ritchie

A Canadian adult with bacteremic pneumonia caused by a relatively penicillin-resistant (minimal inhibitory concentration 0.25 μg/mL) Streptococcus pneumoniae is reported, and the published literature regarding penicillin-resistant pneumococci in Canada reviewed. Although penicillin resistance has been reported infrequently to date, this case emphasizes the need for routine antimicrobial sensitivity testing of all pneumococci isolated from normally sterile sites, and for ongoing systematic surveillance for penicillin and other antibiotic resistance in Canada.


2011 ◽  
Vol 85 (5) ◽  
pp. 515-519 ◽  
Author(s):  
Yukiko NAKAMURA ◽  
Takashi SAITO ◽  
Hisaaki NISHIO ◽  
Mitsuru ISHII ◽  
Kunihiko KOSUGA ◽  
...  

2013 ◽  
Vol 1 (2) ◽  
pp. 80-83
Author(s):  
TM Ibrahim ◽  
MN Letchumanan

INTRODUCTION: Although hematogenous acute epididymo-orchitis complicating Gram negative bacteremia, tuberculosis and brucellosis have been reported in medical literature, there is paucity of report on acute epididymo-orchitis complicating Streptococcus pneumoniae bacteremia. CASE REPORT: We report the case of hematogenous acute epididymo-orchitis from S. pneumoniae bacteremia in an adult chronic cigarette smoker and alcoholic with community acquired pneumonia. CONCLUSION: We recommend that acute epididymo-orchitis should be remember as a sequel of S. pneumoniae bacteremia especially in adult males with immune suppression DOI: http://dx.doi.org/10.3126/ijim.v1i2.7411 Int J Infect Microbiol 2012;1(1):80-83


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