İnfantta Gastrik Cerrahi Sonrası Gelişen Streptococcus gordonii Bakteremisi

Zeynep Gökçe Gayretli Aydın ,Gülsüm İclal Bayhan ,İsmet Faruk Özgüner ,Gönül Tanır ,Türkan Aydın Teke ,Fatma Nur Öz ,Ozge Timur

doi:10.12996/gmj.2014.49

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.

Highlights

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 [1]
S. gordonii is a causative agent of dental caries and bacterial endocarditis [2], but it rarely causes positive blood cultures in patients that undergo diagnostic procedures involving the gastrointestinal tract, such as sigmoidoscopy and gastroduodenoscopy [3,4]
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

Summary

INTRODUCTION

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 [1]. The male patient had a normal antenatal history, and was born at term (3.1 kg) via normal vaginal delivery He cried well post delivery and passed meconium on the first day of life. Post surgery necrotizing enterocolitis (NEC) developed and the patient again underwent surgery to resect the necrotic areas of the gut and for colostomy. He was referred to our hospital due to short bowel syndrome, cholestasis, and malnutrition at the age of two months. Following two blood cultures resulted as negative and antibiotic treatment was continued for 10 days. Fresh frozen plasma, red blood cell, and platelet transfusion were administered for supportive therapy His blood culture yielded Klebsiella pneumoniae, which was sensitive to gentamicin, amikacin, and meropenem. Cardiopulmonary resuscitation was initiated, as the patient developed pulseless electrical activity, and he was intubated and ventilated, but despite aggressive cardiopulmonary resuscitation and intervention, the patient died the same day

DISCUSSION

Findings

CONCLUSION