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Septicemia and endocarditis caused by group G streptococci in a Norwegian hospital

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Abstract

The clinical and bacteriological features of septicemia caused by group G streptococci were analyzed in nine patients seen during a period of 28 months. Four of these patients had acute endocarditis with a high rate of serious neurological complications. The clinical response to antibiotic treatment was slow in the endocarditis patients despite sensitivity of the organism in vitro. Group G streptococcal septicemia can be a very serious condition associated with endocarditis of a destructive nature. Comparison with previous reports suggests that group G streptococcal infections are of increasing importance. The virulence of group G streptococci may be changing, resulting in more serious infections and complications. This series stresses the importance of prompt recognition of this infection and the need for aggressive management of these patients.

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References

  1. Lancefield RC, Hare R: The serological differentation of pathogenic and non-pathogenic streptococci from partiturient women. Journal of Experimental Medicine 1935, 61: 335–349.

    Google Scholar 

  2. Norlander I-M, Thal E, Tunewall G: Occurrence and significance of hemolytic streptococci groups B-U in human infectious disease. Scandinavian Journal of Infectious Diseases 1975, 7: 35–38.

    PubMed  Google Scholar 

  3. Vartian C, Lerner PI, Shlaes DM, Gopalakrishna KV: Infections due to Lancefield group G streptococci. Medicine 1985, 64: 75–87.

    PubMed  Google Scholar 

  4. Duma RJ, Weinberg AN, Medrek TF, Kunz LF: Streptococcal infections. Medicine 1969, 48: 87–127.

    Google Scholar 

  5. Rotta J: Pyogenic hemolytic streptococci. In: Sneath PHA, Mair NS, Sharpe ME, Holt JG (ed.): Bergey's manual of systematic bacteriology. Williams and Wilkins, Baltimore, 1986, p. 1047–1054.

    Google Scholar 

  6. Auckenthaler R, Hermans PE, Washington JA: Group G streptococcal bacteremia: clinical study and review of the literature. Reviews of Infectious Diseases 1983, 5: 196–204.

    PubMed  Google Scholar 

  7. Lam K, Bayer AS: Serious infections due to group G streptococci. Report of 15 cases with in vitro-in vivo correlations. American Journal of Medicine 1983, 75: 561–570.

    PubMed  Google Scholar 

  8. Finch RG, Aveline A: Group G streptococcal septicemia: clinical observations and laboratory studies. Journal of Infection 1984, 9: 126–133.

    PubMed  Google Scholar 

  9. Dickie AS, Bremner DA, Say PJ: Group G streptococcal septicemia: report of six cases. Journal of Infectious Diseases 1984, 8: 173–176.

    Google Scholar 

  10. Watsky KL, Kollisch N, Densen P: Group G streptococcal bacteremia. Archives of Internal Medicine 1985, 145: 58–61.

    PubMed  Google Scholar 

  11. Craven DE, Rixinger AI, Bisno AL, Goularte TA, McCabe WR: Bacteremia caused by group G streptococci in parenteral drug abusers: epidemiological and clinical aspects. Journal of Infectious Diseases 1986, 153: 988–992.

    PubMed  Google Scholar 

  12. Venezio FR, Gullberg RM, Westenfelder GO, Phair JP, Cook FV: Group G streptococcal endocarditis and bacteremia. American Journal of Medicine 1986, 81: 29–34.

    Google Scholar 

  13. Skogberg K, Simonen H, Renkonen O-V, Valtonen VV: Beta-haemolytic group A, B, C and G streptococcal septicaemia; a clinical study. Scandinavian Journal of Infectious Diseases 1988, 20: 119–125.

    PubMed  Google Scholar 

  14. Barnham M: Invasive streptococcal infections in the era before the aquired immune deficiency syndrome: a 10 years' compilation of patients with streptococcal bacteraemia in North Yorkshire. Journal of Infection 1989, 18: 231–248.

    PubMed  Google Scholar 

  15. Rolston KVI, Chandrasekar PH, LeFrock JL: Clinical features and antimicrobial therapy of infections caused by group G streptococci. Infection 1985, 13: 203–206.

    PubMed  Google Scholar 

  16. Gaunt PN, Seal DV: Group G streptococcal infections. Journal of Infection 1987, 15: 5–20.

    PubMed  Google Scholar 

  17. Pelletier L, Petersdorf R: Infective endocarditis: a review of 125 cases from the University of Washington Hospital 1963–1972, Medicine 1977, 56: 287–313.

    PubMed  Google Scholar 

  18. Garvey G, Neu H: Infective endocarditis — an evolving disease: review of endocarditis at Columbia-Presbyterian Medical Center 1968–1973. Medicine 1977, 57: 105–127.

    Google Scholar 

  19. Svanbom M, Strandell T: Bacterial endocarditis. Scandinavian Journal of Infectious Diseases 1979, 11: 17–30.

    PubMed  Google Scholar 

  20. Gossius G, Gunnes P, Rasmussen K: Ten years of infective endocarditis: a clinicopathologic study. Acta Medica Scandinavica 1985, 217: 171–179.

    PubMed  Google Scholar 

  21. Lowes JA, Hamer J, Williams G, Houang E, Tabaqchali S, Shaw EJ, Hill IM, Rees GM: Ten years of infective endocarditis at St. Bartholomew's hospital: analysis of clinical features and treatment in relation to prognosis and mortality. Lancet 1980, i: 133–136.

    Google Scholar 

  22. Lien EA, Solberg CO, Kalager T: Infective endocarditis 1973–1984 at the Bergen University Hospital: clinical features, treatment and prognosis. Scandinavian Journal of Infectious Diseases 1988, 20: 239–248.

    PubMed  Google Scholar 

  23. Venezio FR, Grant O, Westenfelder GO, Cook FV, Emmermann J, Phair JP: Infective endocarditis in a community hospital. Archives of Internal Medicine 1982, 142, 789–792.

    PubMed  Google Scholar 

  24. Blair DC, Martin DB: Beta-hemolytic streptococcal endocarditis: predominance of non-group A organisms. American Journal of the Medical Sciences 1978, 276: 269–275.

    PubMed  Google Scholar 

  25. Smyth EG, Pallet AP, Davidson RN: Group G streptococcal endocarditis: two case reports, a review of the literature and recommendations for treatment. Journal of Infection 1988, 16, 169–176.

    PubMed  Google Scholar 

  26. Pruitt AA, Rubin RH, Karchmer AW, Duncan GVU: Neurological complications of bacterial endocarditis. Medicine 1978, 57: 329–343.

    PubMed  Google Scholar 

  27. Anonymous: Group G streptococci. Lancet 1984, i: 144.

  28. Noble JT, Tyburski MB, Burman M, Greenspan J, Tenenbaum MJ: Antimicrobial tolerance in group G streptococci. Lancet 1980, ii: 982.

    Google Scholar 

  29. Rolston KVI, LeFrock JL, Schell RF: Activity of nine antimicrobial agents against Lancefield group C and group G streptocci. Antimicrobial Agents and Chemotherapy 1982, 22: 930–932.

    PubMed  Google Scholar 

  30. Bisno AL, Craven DE, McCabe WR: M proteins of group G streptococci isolated from bacteremic human infections. Infection and Immunity 1987, 55: 753–757.

    PubMed  Google Scholar 

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Bucher, A., Gaustad, P. Septicemia and endocarditis caused by group G streptococci in a Norwegian hospital. Eur. J. Clin. Microbiol. Infect. Dis. 9, 251–256 (1990). https://doi.org/10.1007/BF01968055

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