Spectre clinique d'un pathogene commun et insidieux: le Streptococcus milleri. [Clinical spectrum of a common and insidious pathogen: Streptococcus milleri]

Détails

ID Serval
serval:BIB_F270B1D1CA31
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Spectre clinique d'un pathogene commun et insidieux: le Streptococcus milleri. [Clinical spectrum of a common and insidious pathogen: Streptococcus milleri]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Spertini  F., Baumgartner  J. D., Bille  J.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
10/1988
Volume
118
Numéro
39
Pages
1393-7
Notes
English Abstract
Journal Article
Review --- Old month value: Oct 1
Résumé
We studied the clinical significance of S. milleri isolated in our hospital in 68 patients during a 18-month period. In 51 patients (median age: 43 years, no underlying diseases in 29 patients), the isolates were associated with significant infections. They were beta-hemolytic in 32 cases and non-hemolytic in 19. The primary infection sites were the head and neck area (21 cases), the lungs (5 cases of pneumonia), the gastrointestinal tract (12 cases), the urogenital tract (3 cases), the soft tissues (6 cases), and the heart (2 endocarditis). Two septicemias were of unknown origin. Head and neck infections and pneumonia were most often associated with beta-hemolytic strains, and bacteremia, gastrointestinal and urogenital tract infections with alpha-hemolytic strains. S. milleri was found in pure culture in 24 cases. Polymicrobial associated flora (27 cases) was more frequent in the abdominal infections (87%) than in supra-diaphragmatic infections (42%). Severe complications were observed in 12 head and neck infections (57%) (cerebral abscesses 3, lethal mediastinitis 2, osteitis 1, meningitis 1, other suppurative lesions 5). When abscesses were present (27 cases), surgery was required in all cases. Despite the high frequency and severity of local complications, the clinical outcome was usually favorable. However, deaths directly related to S. milleri infections occurred in 2 cases of mediastinitis complicating the course of apparently harmless primary infections. Owing to the possible occurrence of life-threatening complications, S. milleri infections require early identification, treatment and surgery when indicated.
Mots-clé
Female Humans Male Middle Aged Serotyping Streptococcal Infections/*microbiology Streptococcus/classification/*isolation & purification/pathogenicity
Pubmed
Web of science
Création de la notice
25/01/2008 16:20
Dernière modification de la notice
03/03/2018 22:40
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