caa a22 4500 477070450 CHVBK 20180405111423.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01591353 doi (NATIONALLICENCE)springer-10.1007/BF01591353 Prospective study of Streptococcus milleri bacteremia [Elektronische Daten] [E. Casariego, A. Rodriguez, J. Corredoira, P. Alonso, A. Coira, M. Bal, M. López, J. Varela] In a prospective study of bacteremia caused by organisms of theStreptococcus milleri group a total of 32 adult patients were observed over a seven-year period. These patients accounted for 1.6% of all patients diagnosed as having significant bacteremia and 17% of all cases of streptococcal (nonpneumococcal) bacteremia diagnosed during the study period. Only five patients had polymicrobic bacteremia. In 31 cases, a presumed origin of infection was identified, generally oral or gastrointestinal disease. There were only six cases of nosocomial acquisition. The most common presenting symptom was prolonged fever. The following forms of presentation were documented: bacteremia with local suppurative infection (56%), bacteremia without local suppurative infection (25%), and endocarditis (19%). An associated focus of infection was found in the abdominal cavity in 20 cases (62%). The mortality rate was 12.5%. All isolates were susceptible to penicillin. Caution is necessary in interpreting a blood culture positive forStreptococcus milleri group organisms, since, unlike other viridans streptococci, they are rarely contaminants. For this reason patients with suppurative processes and/or digestive tract disease must be carefully investigated. Springer-Verlag, 1996 Casariego E. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut Rodriguez A. Department of Microbiology, Hospital Xeral, Lugo, Spain aut Corredoira J. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut Alonso P. Department of Microbiology, Hospital Xeral, Lugo, Spain aut Coira A. Department of Microbiology, Hospital Xeral, Lugo, Spain aut Bal M. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut López M. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut Varela J. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/3(1996-03-01), 194-200 0934-9723 15:3<194 1996 15 10096 https://doi.org/10.1007/BF01591353 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01591353 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Casariego E. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Rodriguez A. Department of Microbiology, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Corredoira J. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Alonso P. Department of Microbiology, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Coira A. Department of Microbiology, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Bal M. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- López M. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 700 1- Varela J. Department of Internal Medicine, Hospital Xeral, Lugo, Spain aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/3(1996-03-01), 194-200 0934-9723 15:3<194 1996 15 10096 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer