Presentation
We describe a 62-year-old male with adenocarcinoma of the sigmoid colon with the presentation of infective endocarditis due to infection by Streptococcus viridans, and we also report on the condition's successful treatment. [ncbi.nlm.nih.gov]
This case highlights an unusual presentation of Streptococcus viridans osteomyelitis of the acetabulum in an otherwise healthy 13-year-old athletic male. [longdom.org]
Streptococcus viridans is constantly present in alveolar infection and frequently enters the blood stream when these infected areas are traumatized. [jamanetwork.com]
Entire Body System
- Intermittent Fever
Case Report A 4-year-old boy presented with intermittent fever and productive cough for 2 weeks. He was given medications to alleviate the symptoms; however, high fever and shortness of breath were noted 4 days later. [indianpediatrics.net]
- Soft Tissue Swelling
Left knee X-ray was suggestive of soft tissue swelling with left knee prosthesis in a satisfactory position without evidence of fracture (Figure 1). [cureus.com]
A magnetic resonance imaging (MRI) scan of the pelvis suggested marrow oedema of the left pubic bone extending all the way up to the left sacro-iliac joint and soft tissue swelling of the pubic symphysis, changes highly suggestive of osteomyelitis of [jmedicalcasereports.biomedcentral.com]
Computed tomography (CT) is more sensitive than plain radiography and may be useful in detecting soft tissue swelling and abscess formation. [omicsonline.org]
- Inguinal Hernia
In children, it can mimic septic arthritis of the hip, an acute abdomen, and an inguinal hernia, making it a diagnostic challenge for many physicians. [longdom.org]
- Difficulty Walking
Patients usually present with hip or groin pain, difficulty walking, and sometimes fever. In children, it can mimic septic arthritis of the hip, an acute abdomen, and an inguinal hernia, making it a diagnostic challenge for many physicians. [longdom.org]
- Leg Swelling
She reported progressive leg swelling and dyspnea with NYHA class IV symptoms. She denied chest pain or syncopal symptoms. There was no history of fever, chills/rigors, night sweats, arthralgia, or eye symptoms. Her travel history was negative. [cureus.com]
Skin
- Palpable Purpura
Her extremities demonstrated palpable purpura and pitting edema. Chest auscultation revealed bibasilar crackles and a grade III pan-systolic murmur, best heard over the apex, with radiation to the axilla. [cureus.com]
Musculoskeletal
- Knee Pain
Case Presentation A 64-year-old female presented with a three-day history of left knee pain and swelling along with high-grade fever (102.6 F) and chills. [cureus.com]
Eyes
- Ciliary Injection
The 28-year-old man visited the authors' hospital due to ciliary injection and hypopyon over left eye. On examination, Behcet-mimicking symptoms were observed, such as genital and oral ulcers and arthritis. [ncbi.nlm.nih.gov]
- Conjunctival Pallor
Examination revealed conjunctival pallor, dental caries, track marks on the dorsal right hand, and bilateral lower extremity pitting edema. Her extremities demonstrated palpable purpura. [cureus.com]
Workup
In the face of penicillin resistance, additional considerations for workup, including microbiological assays for antimicrobial synergism become necessary in the selection of a therapeutic regimen. [ncbi.nlm.nih.gov]
Often, the workup for infectious cause returns fruitless and the patient’s clinical course may be the sole clue in making the diagnosis. Here, we present a rare case of hookah-induced Streptococcus viridanspneumonia. [aspergillus.org.uk]
The patient was then transferred to the Children’s Hospital for concern and workup of a septic joint. [omicsonline.org]
Because of the frequent association of abscess formation, a routine workup in Anginosus group bacteremia should include a search for abscess. In Vitro Susceptibility VGS are presumed to be uniformly susceptible to penicillin. [antimicrobe.org]
X-Ray
- Cavitary Lesion
Follow-up chest x-ray after 3 weeks confirmed resolving cavitary lesions. [aspergillus.org.uk]
QRS Wave
- Poor R Wave Progression
Electrocardiogram (EKG) showed normal sinus rhythm, poor R-wave progression in anterolateral leads, and deep Q waves in V1 and V2. [cureus.com]
HLA Type
- HLA-B27
A 26-year-old male patient with mitral valve prolapse and HLA-B27 antigen received endodontic treatment for dental caries. [ncbi.nlm.nih.gov]
Treatment
Complete resolution of ocular and systemic symptoms was achieved after 2 months of treatment. Streptococcus viridans is potential microorganisms of ReA. Careful survey and prompt treatment is necessary. [ncbi.nlm.nih.gov]
Complete resolution of ocular and systemic symptoms was achieved after 2 months of treatment. Conclusions: Streptococcus viridans is potential microorganisms of ReA. Careful survey and prompt treatment is necessary. [tmu.pure.elsevier.com]
There were no treatment failures. [jamanetwork.com]
Treatment The treatment regimens for suspected or confirmed PJI can vary depending on severity and symptom duration. The gold standard for PJI treatment is two-stage resection arthroplasty with subsequent reimplantation (14,24,26,41,42). [aoj.amegroups.com]
Prognosis
Although advances in antibiotic therapy and surgical techniques have improved the prognosis of endocarditis, 1 the mortality rate in recent decades has held steady at 15% to 50%. 2-11 Improving this prognosis will require identifying patients at higher [revespcardiol.org]
Therefore, early diagnosis and initiation of adequate antibiotic therapy is important for improving the long-term prognosis of patients suffering from this rare disease. [ekjm.org]
Etiology
The organisms are most abundant in the mouth, and one member of the group, S. mutans, is the etiologic agent of dental caries. This group of bacteria is often implicated in subacute endocarditis associated with dental procedures. [osmosis.org]
Streptococcus viridans is also an important etiologic agent causing septicaemia in neutropenic patients with haematological diseases. [ncbi.nlm.nih.gov]
The title is unfortunate, since it implies that infections produced by the usual etiologic agent in cases of subacute bacterial endocarditis can be controlled by sulfapyridine. [jamanetwork.com]
Epidemiology
Survey Research Expert Houston, Texas Academic Physicians Madison, Wisconsin Clinician Educator New Haven, Connecticut Tenure-Track Assistant or Associate Professor Department of Epidemiology Baltimore, Maryland View all jobs [academic.oup.com]
A retrospective epidemiological study indicated that one phlebotomist, "P," collected a disproportionate number of the positive blood cultures. [ncbi.nlm.nih.gov]
Epidemiology of severe Streptococcus pyogenes disease in Europe. J Clin Microbiol. 2008;46(7):2359–67. Epub 2008/05/09. pmid:18463210. View Article PubMed/NCBI Google Scholar 14. [journals.plos.org]
[…] the culture of specimens from epidemiologically linked healthcare workers (HCWs) (7). [isid.org]
The aim of this study was to analyse the epidemiology and the clinical features of ID due to SGA in a tertiary paediatric hospital. [elsevier.es]
Pathophysiology
Pathophysiology The portal of entry for S bovis bacteremia is the gastrointestinal tract. The urinary tract, hepatobiliary tree and the oropharynx can also be sources of infection in some cases. [emedicine.medscape.com]
Stress and the gut: pathophysiology, clinical conasequences, diagnostic approach and treatment options. [mentalhealth.org.uk]
It may corroborate a pivotal role of the circulatory failure in the pathophysiology of S. pyogenes-PF. [ann-clinmicrob.biomedcentral.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
It is therefore recommended that the preferable antibiotic used for the prevention of BE should be determined by an antibiogram. [ncbi.nlm.nih.gov]
Therefore the diagnosis and prevention of these infections is critical in health care. Purpose: The aim of this in-vivo study was to determine the prevalence of viridans streptococci in abscesses occurring in the maxillofacial region. [jdt.tums.ac.ir]
Norfloxacin versus vancomycin/polymyxin for prevention of infections in granulocytopenic patients.Am J Med. 1986; 80: 884-890 Cruciani M Concia E Navarra A et al. [amjmed.com]
Clin Infect Dis. 1999, 29:292-295. 10.1086/520202 Gillespie WJ: Prevention and management of infection after total joint replacement. [cureus.com]
All respondents indicated that they were aware of the 2007 AHA IE prevention guidelines and had modified their respective practices to include the new recommendations for antibiotic prophylaxis. [ahajournals.org]