Streptococcus gordonii Bacteremia in an Infant Following Gastric Surgery

Authors

  • Zeynep Gökçe Gayretli Aydın Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • Gönül Tanır Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • İsmet Faruk Özgüner Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • Gülsüm İclal Bayhan Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • Türkan Aydın Teke Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • Fatma Nur Öz Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,
  • Özge Metin Timur Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

Abstract

 Streptococcus gordonii is a viridans group streptococci of the S. sangius group that is normally a non-pathogenic inhabitant of the oral cavity and occasionally the gastrointestinal tract. S. gordonii is well-known for its ability to colonize damaged heart valves and cause bacterial endocarditis, but it rarely causes positive blood cultures in patients that undergo diagnostic procedures involving the gastrointestinal tract, such as sigmoidoscopy and gastroduodenoscopy. Herein we report a 5-month-old patient with bacteremia due to S. gordonii following a surgery for malrotation. The source of S. gordonii infection was thought to be the malrotation surgery. To the best of our knowledge, the literature does not include any pediatric cases of S. gordonii bacteremia following a gastric surgery. 

Author Biographies

Zeynep Gökçe Gayretli Aydın, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

Gönül Tanır, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

İsmet Faruk Özgüner, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

Department of Pediatric Surgery

Gülsüm İclal Bayhan, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

Türkan Aydın Teke, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

Fatma Nur Öz, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

Özge Metin Timur, Dr. Sami Ulus Maternity and Children’s Research and Education Hospital,

DEPARTMENT OF PEDIATRICS, DIVISION OF INFECTIOUS DISEASE

References

Macaluso A, Simmang C, Anthony T. Streptococcus sanguis bacteremia and colorectal cancer. South Med J 1998; 91: 206-7.

Facklam R. What happened to the streptococci: overwiev of taxonomic and nomenclature changes. Clin Microbiol Rev 2002; 15: 613-30.

Norfleet RG. Infectious endocarditis after fiberoptic sigmoidoscopy. With a literature review. J Clin Gastroenterol 1991; 13: 448-51.

Pentimone F, Del Corso L, Borelli A, Riccioni S, Salvatore L. Destructive endocarditis caused by Streptococcus sanguis on normal valves after gastroduodenoscopy. [Article in Italian]. Minerva Cardioangiol. 1991; 39: 245-9.

Sinner SW, Tunkel AR. Viridans Streptococci, Groups C and G Streptococci, and Gemella Species. In: Mandell GL, Bennet JE, Dolin R, editors. Mandell, Douglas and Bennett’s Principles and Practise of Infectious Disease. 7th ed. Churchill Livingstone, Philadelphia; 2010. p. 2667-80.

Nobbs AH, Lamon;t RJ, Jenkinson HF. Streptococcus adherence and colonization. Microbiol Mol Biol Rev 2009; 73: 407-50.

Doern CD, Burnham CA. It’s not easy being green: the Viridans Group Streptococci, with a focus on pediatric clinical manifestations. J Clin Microbiol 2010; 48: 3829-35.

Yombi Jc, Belkhir L, Jonckheere S, Wilmes D, Cornu O, Vandercam B, et al. Streptococcus gordonii septic arthritis: two cases and review of literature. BMC Infect Dis 2012, 12: 215.

Collazos J, Martinez E, Mayo J. Spontaneous bacterial peritonitis caused by Streptococcus gordonii. J Clin Gastroenterol 1999; 28: 45-6.

Cheung CY, Cheng NH, Chau KF, Li CS. Streptococcus gordonii peritonitis in a patient on CAPD. Ren Fail. 2011; 33: 242-3.

Siegert CE, Overbosch D. Carcinoma of the colon presenting as Streptococcus sanguis bacteremia. Am J Gastroenterol. 1995; 90: 1528-9.

Fass R, Alim A, Kaunitz JD. Adenocarcinoma of the colon presenting as Streptococcus sanguis bacteremia. Am J Gastroenterol 1995; 90: 1343-5.

Murphy FL, Sparnon AL. Long-term complications following intestinal malrotation and the Ladd's procedure: a 15 year review. Pediatr Surg Int 2006; 22: 326-9.

Gordon KA, Beach ML, Biedenbach DJ, Jones RN, Rhomberg PR, Mutnick AH. Antimicrobial susceptibility patterns of beta-hemolytic and viridans group streptococci: report from the SENTRY Antimicrobial Surveillance Program (1997-2000). Diagn Microbiol Infect Dis. 2002;43:157-62.

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Published

26.10.2014

Issue

Vol. 25 No. 4 (2014): Gazi Medical Journal

Section

Case Report