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2.1
Anaerobic Streptococcus
Streptococcus Anaerobic

Presentation

Comprehensive coverage of the subject area makes the book suitable for all aspects of the curriculum Almost 300 tables and illustrations present clinical, diagnostic and practical information in an easy-to-follow manner Contains ‘Key Facts’ boxes to act [books.google.com]

Case Presentation A 55-year-old morbidly obese male presented to the emergency room with a recent history of trauma to his left elbow. He came in due to gradually increasing pain. [peertechz.com]

There are other reported cases in the literature of GBS infection presenting beyond infancy but none of the cases presented with Ludwig’s Angina. [pediatric-infectious-disease.imedpub.com]

Poster session presented at IUPUI Research Day 2015, Indianapolis, Indiana. [scholarworks.iupui.edu]

Entire Body System

  • Gangrene

    Pathogen : group A Streptococcus ; ; frequently mixed infection (with aerobic and anaerobic gram-negative bacteria) Gas gangrene ; is a type of necrotizing fasciitis caused by Clostridium perfringens and is discussed in a separate learning card. [amboss.com]

    Anaerobic cocci are involved in several skin and soft tissue infections that may be confused with clostridial myonecrosis (gas gangrene). [ncbi.nlm.nih.gov]

    The types of infections involved vary from fulminating pulmonary gangrene to isolated lung abscess or empyema. [nejm.org]

    Commonly known diseases caused by anaerobic bacteria include gas gangrene, tetanus, and botulism. Nearly all dental infections are caused by anaerobic bacteria. [encyclopedia.com]

    The German physician Wilhelm Frederick von Ludwig was the first to describe this infection in 1836 as a rapidly progressive gangrenous cellulitis and edema of soft tissues of the neck, floor of the mouth. [pediatric-infectious-disease.imedpub.com]

  • Chills

    Systemic symptoms: fever, chills, nausea, headaches, muscle and joint pain Milian's ear sign : involvement of the ear lobe in facial erysipelas ; this sign allows facial erysipelas to be differentiated from facial cellulitis Diagnosis Treatment : see [amboss.com]

    Fever, the most common finding in liver abscess, may be accompanied by chills and sweats. The second most common finding is right upper quadrant pain. [atsu.edu]

    Bloodstream invasion causes high fever (up to 105 ° F [40.6 ° C]), chills, a general ill feeling, and is potentially fatal. [encyclopedia.com]

    If the infection gets into the blood, symptoms will include fever, chills and low blood pressure. In the past, it was less important to determine the underlying source of infection. [mrsaidblog.com]

    Other symptoms include fever and chills, swollen glands, blistering of the skin, and malaise. [3] Figure 5 Redness and swelling caused by cellulitus Necrotizing fasciitis is a rare, but very serious infection caused by Streptococcus pyogenes that is popularly [pyogenesgonewild.com]

  • Malaise

    Patients classically present with fever, malaise, sudden onset of tender swelling of the floor of the mouth, associated with dysphagia, dyspnea, and drooling. [pediatric-infectious-disease.imedpub.com]

    There may be fever, malaise, anorexia, or partial obstruction of the small intestine. Pancreatic abscess. Acute pancreatitis is classically manifested by severe epigastric pain that may be referred to the back. [atsu.edu]

    Other symptoms include fever and chills, swollen glands, blistering of the skin, and malaise. [3] Figure 5 Redness and swelling caused by cellulitus Necrotizing fasciitis is a rare, but very serious infection caused by Streptococcus pyogenes that is popularly [pyogenesgonewild.com]

    Systemic symptoms, such as fever and malaise, may also occur. Elevated inflammatory markers in the blood support the clinical diagnosis. Imaging may be considered to establish the extent and localization of infection. [amboss.com]

    This condition is known to be caused by synergistic infection between unusually large spirochetes ( Treponemes and Selenomonas sp.), and fusobacteria, which are part of the normal oropharyngeal flora. 4 Symptoms include, abrupt onset, malaise, regional [anaerobicinfections.blogspot.com]

  • Localized Pain

    History of trauma, severe localized pain, heat and swelling, flu-like symptoms, and redness are all common early indications of NF [1]. [peertechz.com]

    Symptoms of necrotizing fasciitis begin with fever and exquisite localized pain out of proportion to physical findings; pain increases rapidly over time and is often the first (and sometimes only) manifestation. [msdmanuals.com]

  • Lymphadenopathy

    This condition is known to be caused by synergistic infection between unusually large spirochetes ( Treponemes and Selenomonas sp.), and fusobacteria, which are part of the normal oropharyngeal flora. 4 Symptoms include, abrupt onset, malaise, regional lymphadenopathy [anaerobicinfections.blogspot.com]

Respiratoric

  • Pneumonia

    sepsis, meningitis in newborns S. pneumoniae: community - acquired pneumonia, meningitis, otitis media Viridans Group streptococci: endocarditis, bacteremia (particularly in setting of oral mucosal disruption) Laboratory Culture conditions: Blood agar [pathologyoutlines.com]

    Streptococcus pneumoniae Streptococcus pneumoniae in clinical material occurs in two distinctive forms. [microbiologyinpictures.com]

    […] pyogenes Typical pneumonia inhalation of droplets Group A Streptococcus, pneumonia that killed Jim Hensen (The Muppets creator) Streptococcus agalactiae common cause of pneumonia in 0-2 month old patients Typical pneumonia inhalation of organisms as [atsu.edu]

    A significant human pathogenic bacterium, S. pneumoniae was recognized as a major cause of pneumonia in the late 19th century. [abcam.com]

    Abstract An obligately anaerobic strain of Streptococcus pneumoniae was isolated from blood culture in a 14-month-old child with an upper respiratory tract infection. [ncbi.nlm.nih.gov]

  • Rales

    Dyspnea, cough, chest and shoulder pain and dullness or rales over the lung base may be noted. Pelvic abscess. [atsu.edu]

Musculoskeletal

  • Arthritis

    Despite the name, the organism causes many types of pneumococcal infection other than pneumonia, including acute sinusitis, otitis media, meningitis, bacteremia, sepsis, osteomyelitis, septic arthritis, endocarditis, peritonitis, pericarditis, cellulitis [microbiologyinpictures.com]

    […] to microaerophilic streptococci, and in 15 (9%) of 176 patients who had P magnus infection. [7] The most frequent types of infections from which anaerobic gram-positive cocci were isolated in pure culture were soft tissue infections, osteomyelitis, arthritis [emedicine.medscape.com]

    Diagnosis of a first episode is based on a combination of arthritis, carditis, chorea, specific cutaneous manifestations, and laboratory test results (Jones criteria—see Table: Modified Jones Criteria for a First Episode of Acute Rheumatic Fever (ARF) [msdmanuals.com]

    UTIs Penicillin or ampicillin, cephalosporin, vancomycin C and G S. equi, S. canis Beta Pharyngitis, pneumonia, cellulitis, pyoderma, erysipelas, impetigo, wound infections, puerperal sepsis, neonatal sepsis, endocarditis, septic arthritis Penicillin [merckmanuals.com]

    Other isolates, those belonging to non-group A or B streptococci, can cause a wide range of infections such as bacteremia, endocarditis, meningitis, septic arthritis, and infections of the respiratory tract and skin. [catalog.hardydiagnostics.com]

Workup

[…] contaminants, be careful to rule out true infection in the following settings: When multiple blood cultures from different sets are positive When the patient has prosthetic devices The following bugs are generally NOT skin contaminants are warrant further workup [errolozdalga.com]

Laboratory workups were all within normal limits except for an elevated CRP (116 mg/L). [pediatric-infectious-disease.imedpub.com]

Microbiology

  • Streptococcus Pneumoniae

    Streptococcus pneumoniae Streptococcus pneumoniae in clinical material occurs in two distinctive forms. [microbiologyinpictures.com]

    Abstract An obligately anaerobic strain of Streptococcus pneumoniae was isolated from blood culture in a 14-month-old child with an upper respiratory tract infection. [ncbi.nlm.nih.gov]

    A majority (more than 80%) of the cases of lobar pneumonia are caused by Streptococcus pneumoniae. [textbookofbacteriology.net]

    Product name Anti-Streptococcus pneumoniae type 12 antibody Description Rabbit polyclonal to Streptococcus pneumoniae type 12 Host species Rabbit Specificity No cross reactivity with other serotypes observed. [abcam.com]

    Genome Structure The gene sequence for the circular chromosomes of twelves pecies of streptococci have been sequenced: Streptococcus pneumoniae, Streptococcus agalactiae 2603 V/R, Streptococcus mutans, Streptococcus thermophilus CNRZ1066, Streptococcus [microbewiki.kenyon.edu]

  • Gram-Positive Coccus

    Background Group A beta-hemolytic streptococcus (GABS), also known as Streptococcus pyogenes, is a non-motile, Gram-positive coccus shaped bacteria. This adaptive human pathogen is well-known for infecting the oropharynx resulting in pharyngitis. [peertechz.com]

    Streptococcus mutans is a facultatively anaerobic, gram-positive coccus (round bacterium ) commonly found in the human oral cavity and is a significant contributor to tooth decay. [1] [2] It is part of the " streptococci " (plural, non-italic lowercase [en.wikipedia.org]

    G ENERAL DESCRIPTION M icrobiology Streptococcus pyogenes, or Group A streptococcus (GAS), is a facultative, Gram-positive coccus which grows in chains and causes numerous infections in humans including pharyngitis, tonsillitis, scarlet fever, cellulitis [antimicrobe.org]

Treatment

see Treatment of skin and soft tissue infections [amboss.com]

Several antimicrobials are not recommended for treatment of GABHS PT. [scielo.br]

Treatment with clindamycin can lead to treatment failures. However, this can be avoided by confirming susceptibilities in the laboratory using "D-zone test" [6]. [hopkinsguides.com]

A new chapter on Drugs Affecting the Integumentary System discusses skin disorders and their pharmacological treatment, prophylactic and debriding agents, antiseptics, and more. [books.google.com]

Clindamycin in the treatment of dental infections. In: Zambrano, D., ed. Clindamycin in the Treatment of Human Infections. Kalamazoo, Michigan. Upjohn Company, 1992. Hamada, S. and Slade, H.D. [cda-adc.ca]

Prognosis

Presents case studies in every chapter that demonstrate the effects of various drugs on the diagnosis, prognosis, and interventions in physical therapy, so you can more easily monitor patients for adverse drug effects. [books.google.com]

Prognosis Complete recovery should be achieved with the appropriate surgery and antibiotic treatment. Untreated or uncontrolled infections can cause severe tissue and bone destruction, which would require plastic surgery to repair. [encyclopedia.com]

With the exception of necrotizing fasciitis, the majority of cases respond well to treatment and have a favorable prognosis. In the event of generalization, sepsis and spread of infection to local and distant sites may result. [amboss.com]

Long-term prognosis is generally thought to be excellent, but some studies found that up to 20% of patients develop urinary abnormalities ( 13 ). [antimicrobe.org]

Etiology

The bacterial etiology of bursitis has recently been emphasized in the literature; in most of our cases Staphylococcus was responsible. Negative cultures were next in frequency. [ncbi.nlm.nih.gov]

Abstract The role of anaerobic bacteria in the etiology of pyogenic liver abscess has not been fully recognized. In 11 years we have encountered 25 cases of anaerobic liver abscess, which represent 45% of all liver abscesses seen in the same period. [annals.org]

Criteria for a Conventional Etiologic Diagnosis Bacteria were considered to be causative organisms when they were isolated from blood cultures. [journals.plos.org]

but all beta hemolytic streptococci and a few non - beta hemolytic streptococci ( S. dysgalactiae ) Lancefield Group A Streptococci (GAS) = S. pyogenes Lancefield Group B Streptococci (GBS) = S. agalactiae "pneumococcus" = Streptococcus pneumoniae Etiology [pathologyoutlines.com]

Folliculitis Definition : : localized inflammation of the hair follicle (or sebaceous glands ) Etiology Infectious causes: primarily Staphylococcus aureus ; ; gram-negative bacteria (e.g., Pseudomonas aeruginosa ), Candida albicans or Malassezia (particularly [amboss.com]

Epidemiology

[…] pathogenic; Viridans streptococci species cause most dental caries and are the most frequent cause of subacute native valve bacterial endocarditis, typically associated with dental procedures; S. salivarius may cause septicemia in neutropenic patients EPIDEMIOLOGY [msdsonline.com]

Epidemiology Pneumococcal pneumonia is most common in elderly, debilitated, or immunosuppressed individuals. [ncbi.nlm.nih.gov]

Sub-typing strains of GAS has proven invaluable for epidemiological studies, in much the same way that phage typing has been useful to define the epidemiology of Staphylococcus aureus. [antimicrobe.org]

Received: 14-Apr-2013 Revised: 26-Jun-2013 Accepted: 02-Jul-2013 Published: 18-Jul-2013 References Verstraelen H, Verhelst R, Vaneechoutte M and Temmerman M: The epidemiology of bacterial vaginosis in relation to sexual behaviour. [hoajonline.com]

Pathophysiology

References: [12] [14] [15] Erysipelas Definition : a superficial skin infection involving the upper dermis, with lymphangitis and lymphadenitis Pathogen : group A Streptococcus ( Streptococcus pyogenes ) Pathophysiology : entry via minor skin injury ; [amboss.com]

Because the pathophysiology of invasive GAS infection is largely toxin mediated, the use of a protein synthesis inhibitor (eg, clindamycin) offers a theoretical advantage. [emedicine.medscape.com]

Recent interest in the pathophysiology of this disorder has focused on the role of streptococcal pyrogenic exotoxins (SPEs), extracellular products of group A streptococci that mediate not only scarlatiniform-like rashes but also multi-organ damage and [antimicrobe.org]

Prevention

This is done to prevent the occurrence of bacterial endocarditis. Antimicrobial regimens recommended for the prevention of bacterial endocarditis are entirely distinct from regimens used in the prevention of ARF ( 14 ). [antimicrobe.org]

A patient's recovery from anaerobic infection depends on prompt and proper treatment according to the following principles: (1) neutralizing toxins produced by anaerobes, (2) preventing local bacterial proliferation by changing the environment, and (3 [emedicine.medscape.com]

Prevention Although anaerobic infections can occur in anyone, good hygiene and general health may help to prevent infections. Resources BOOKS Fauci, Anthony S., et al., editors. Harrison's Principles of Internal Medicine. [encyclopedia.com]

Although streptococcal pharyngitis is usually a benign, self-limited disease, therapy is important to prevent rheumatic fever. There is no convincing evidence that antibiotic therapy prevents glomerulonephritis. [ncbi.nlm.nih.gov]

Use of Anti Cell-Associated Glucosyltransferase (Anti-CA-gtf) Immunoglobulin Y disrupts S. mutans ' ability to adhere to the teeth enamel, thus preventing it from reproducing. [en.wikipedia.org]

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2.1
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