Presentation
Table 1 summarizes the 12 reported cases of Streptococcus viridans endocarditis with vertebral osteomyelitis, including one present case ( Table 1 ). [e-neurospine.org]
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]
Case Presentation: A 75 year-old man presented with one week of worsening altered mental status and recurrent falls. He also reported dyspnea, non-productive cough and chills of similar duration. He had history of DM2 well controlled on glipized. [shmabstracts.com]
This case highlights an unusual presentation of Streptococcus viridans osteomyelitis of the acetabulum in an otherwise healthy 13-year-old athletic male. [longdom.org]
Entire Body System
- Sepsis
However, VGS are a major cause of sepsis and pneumonia in neutropenic individuals, and an important cause of sepsis and meningitis in neonates. [genome.jp]
It is concluded that S. viridans may have a significant role in the pathogenesis of second trimester amniotic fluid infections with abortions and fetal and neonatal sepsis. [ncbi.nlm.nih.gov]
- Candidiasis
N Engl J Med. 1967; 276: 1229-1233 Google Scholar Wellmann KF Reinhard A Salazar EP Polyethylene catheter embolism: review of the literature and report of a case with associated fatal tricuspid and systemic candidiasis. [translationalres.com]
- Constitutional Symptom
Patients should be aware of fever and other constitutional symptoms that raise concern about IE as the cause. [ahajournals.org]
Respiratoric
- Pneumonia
In our patient the only culprit of strep viridans bacteremia was his community acquired pneumonia. [shmabstracts.com]
Isolation of Viridans Streptococci as the causative agent of pneumonia in bronchoalveolar lavage samples of patients with pneumonia. [shafaorthoj.com]
- Sputum
A disk-diffusion method allowed to find in sputum samples streptococci resistant to penicillin in 28.2% cases, ampicillin — in 42.3% and cefazolin — in 43.6%. [iimmun.ru]
On arrival, all of these patients were treated with IV aqueous penicillin based on Gram stain of sputum which showed predominant Gram-positive cocci in pairs and chains. These specimens of sputum grew normal oral flora in the three cases. [journal.chestnet.org]
[…] not to a distinct species but rather to the group of α-hemolytic streptococci as a whole; viridans streptococci have been isolated from the mouth and intestines of humans, the intestines of horses, the milk and feces of cows, milk products, and the sputum [medical-dictionary.thefreedictionary.com]
Sputum examination by Gram staining and culture in 3 cases was reported as negative. Echocardiography was performed in 3 cases and was normal, without evidence of endocarditis. The clinical course of illness in the 4 patients is described. [ncbi.nlm.nih.gov]
Jaw & Teeth
- Dental Caries
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]
Physical examination is remarkable for dental caries leading to pulpitis. He is referred to a dentist for immediate dental care. Prior to tooth extraction, he will require prophylactic amoxicillin. [medbullets.com]
A 26-year-old male patient with mitral valve prolapse and HLA-B27 antigen received endodontic treatment for dental caries. [ncbi.nlm.nih.gov]
Cardiovascular
- Thrombosis
Aortic valvular injury and thrombosis were induced in aspirin-treated and control rabbits with intracardiac catheters. A subsequent inoculation of Streptococcus viridans resulted in the development of infective endocarditis. [bloodjournal.org]
Gives more knowledge on patient concerns to answer vince | February 28, 2019 On article Anticoagulation module 6: peripheral arterial disease, thrombosis and anticoagulation requirements – the scope of the problem This document will help in the production [bjcardio.co.uk]
Septic cavernous sinus thrombosis due to Streptococcus constellatus infection. J Formos Med Assoc 2003; 102(10): 733-6. >Journals >Revista Mexicana de Neurociencia >Year 2005, Issue 5 [medigraphic.com]
Bland thrombosis and infection in relation to intracardiac catheter. Circulation. 1972; 66: 200-203 Google Scholar Graham KJ Barratt-Boyes BG Cole DS Catheter emboli to the heart and pulmonary artery. [translationalres.com]
Cavernous sinus thrombosis complicating sinusitis. Pediatr Crit Care Med 2004;5:86–8. Google Scholar | Crossref | Medline 19. Younis, RT, Anand, VK, Childress, C. Sinusitis complicated by meningitis: Current management. [journals.sagepub.com]
Fetus
- Quickening
During stress response, your heart rate increases, breathing quickens, muscles tighten, and blood pressure rises. You’ve gotten ready to act. It is how you protect yourself. Stress means different things to different people. [webmd.com]
In these situations, your pulse quickens, you breathe faster, your muscles tense, and your brain uses more oxygen and increases activity—all functions aimed at survival and in response to stress. [nimh.nih.gov]
Your heart pounds faster, muscles tighten, blood pressure rises, breath quickens, and your senses become sharper. [helpguide.org]
Skin
- Ulcer
On examination, Behcet-mimicking symptoms were observed, such as genital and oral ulcers and arthritis. Furthermore, S. viridans was found in the urethral discharge culture. [ncbi.nlm.nih.gov]
Tropical ulcers Blistering distal dactylitis Streptococcal perianal and/or vulval dermatitis. [dermnetnz.org]
Am Heart J. 1969; 77: 818-821 Google Scholar Kedra M Tomaszek M A case of ulcerative endocarditis of the tricuspid valve following implantation of pacemaker with endocardial electrode. [translationalres.com]
- Blister
When the blisters burst and fluid seeps out, the fluid dries and the blisters become coated with a yellow or grey crust. The sores usually occur around the nose and mouth but can be spread to other areas of the body by fingers, clothing and towels. [nccid.ca]
Tropical ulcers Blistering distal dactylitis Streptococcal perianal and/or vulval dermatitis. [dermnetnz.org]
[…] streptococal infections : - acute gangrene: at level of fascia, streptococci pyogenes, produces acute gangrene, a form of necrotizing fascitis; - look for early rapid onset of marked tissue edema and redness w/ little pain, progressing to local cyanosis & skin blistering [wheelessonline.com]
[…] invasive (spread into the bloodstream and to other body sites) The most common of the non-invasive infections include: strep throat: sore throat specifically caused by streptococcal infection impetigo: contagious skin infection that causes sores and blisters [yourgenome.org]
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]
Serum
- Neutropenia
Although the association between severe neutropenia and viridans streptococcal bacteremia has been confirmed in some studies, others have indicated that bacteremia can occur in patients with less-severe neutropenia [ 13, 14, 19 ]. [academic.oup.com]
neutropenia, 1-5 days (median 4.5) post-BMT. [ncbi.nlm.nih.gov]
Microbiology
- Candida
Arch Intern Med. 1979; 139: 1176-1178 Google Scholar Joseph P Himmelstein DU Mahowald JM Stullman WS Atrial myxoma infected with candida: first survival. [internationaljournalofcardiology.com]
To read this article in full you will need to make a payment References Davis JM Moss AJ Schenk EA Tricuspid candida endocarditis complicating a permanently implanted transvenous pacemaker. [translationalres.com]
Real-time identification of bacteria and Candida species in positive blood culture broths by matrix-assisted laser desorption ionization-time of flight mass spectrometry. J. Clin. Microbiol. 48:1542-1548. [ncbi.nlm.nih.gov]
- Blood Culture Positive
A case of VGS BSI was defined as a patient with signs and/or symptoms of infection who had two or more blood cultures positive for VGS within a 24 hour period. Patients with polymicrobial bacteremia were excluded. [idsa.confex.com]
The diagnosis of VSB was established by the presence of ⩾ 2 sets of blood cultures positive for viridans streptococci. Those cases in which a single blood culture yielded these bacteria were included only when signs of sepsis were present. [academic.oup.com]
There were no episodes in which blood cultures remained positive for VGS after commencement of antimicrobial therapy. [ncbi.nlm.nih.gov]
- Gram-Positive Coccus
Discussion: - gram positive coccus - spetrum of streptococci pyogenes infections: - most common cause of celluitis and lymphangitis; - superficial form of infection is called impetigo which affects stratum corneum; - ecthyma contagiosum describes shallow [wheelessonline.com]
The Pneumococcus (Streptococcus pneumoniae) DISCUSSION Streptococcus pneumoniae, or the pneumococcus, is a lancet-shaped (pointed like a lance) Gram-positive coccus 0.6-1.2 µm in diameter. [bio.libretexts.org]
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]
GENERAL DESCRIPTION Microbiology 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
Spinal epidural abscess: the importance of early diagnosis and treatment. J Neurol Neurosurg Psychiatry 1998;65:209–212. 9703173. 15. Mampalam TJ, Rosegay H, Andrews BT, Rosenblum ML, Pitts LH. Nonoperative treatment of spinal epidural infections. [e-neurospine.org]
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]
The treatment of subacute bacterial endocarditis with penicillin. Results in twenty cases. J. A. M. A. 1945; 127: 129-137 Scopus (9) Crossref Google Scholar Hunter T.H. The treatment of subacute bacterial endocarditis with antibiotics. Am. J. [amjmed.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]
Strep viridans is a well accepted etiologic organism causing infective endocarditis which is often caused by damage to the oral mucosa sustained during dental work. [shmabstracts.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]
Rebecca Buxton. 2005. https://www.asmscience.org/content/e...ery/image.2881) Habitat Some of the most common normal oral flora Source Can produce dental disease in the mouth Can be introduced into the bloodstream by dental procedures or poor oral health Epidemiology [bio.libretexts.org]
[…] 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]
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]
Cotrimoxazole alone for prevention of bacterial infection in patients with acute leukemia. [amjmed.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]
Prevention of bacterial endocarditis: recommendations by the American Heart Association. Circulation. 1997 ; 96 :358–366. Crossref Medline Google Scholar 2 Dajani AS, Bawdon RE, Berry MC. [circ.ahajournals.org]
Prevention & Control Endocarditis prophylaxis, as discussed in site on bacterial endocarditis, is used to prevent viridans group streptococcal endocarditis. [antiinfectivedrugs.com]