2013
DOI: 10.1186/1471-2431-13-61
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Granulicatella bacteraemia in children: two cases and review of the literature

Abstract: BackgroundGranulicatella spp. is a fastidious bacteria responsible for bacteremia and endocarditis which are fatal in about 20% of the cases. These severe infections are uncommon in children under 17 years of age and have proven extremely difficult to treat.Cases presentationWe report a brief review of the literature and two cases of NVS bacteremia by Granulicatella complicated by infective endocarditis (IE). The first one is that of a 7-year-old Caucasian female with Shone syndrome and IE involving the pulmon… Show more

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Cited by 15 publications
(15 citation statements)
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“…The most notable differences observed between cases and controls was the enrichment for OTUs belonging to Granulicatella, Abiotrophia, and Streptococcus among the sputum of the cases. Interestingly, Granulicatella has been previously identified as part of the normal flora of the respiratory tract [Harris et al, ], and is being increasing implicated in clinically relevant infections leading to central nervous system infections, sinusitis, and other infections [Michelow et al, ; Hepburn et al, ; De Luca et al, ]. Abiotrophia has been associated with aortitis [Raff et al, ].…”
Section: Discussionmentioning
confidence: 99%
“…The most notable differences observed between cases and controls was the enrichment for OTUs belonging to Granulicatella, Abiotrophia, and Streptococcus among the sputum of the cases. Interestingly, Granulicatella has been previously identified as part of the normal flora of the respiratory tract [Harris et al, ], and is being increasing implicated in clinically relevant infections leading to central nervous system infections, sinusitis, and other infections [Michelow et al, ; Hepburn et al, ; De Luca et al, ]. Abiotrophia has been associated with aortitis [Raff et al, ].…”
Section: Discussionmentioning
confidence: 99%
“…A reduction in oral microbial diversity is generally associated with dysbiosis and a predisposition to disease 8 . In addition, the predominant genera of Granulicatella , Neisseria and Porphyromonas found after treatment with the Italian-style gluten-free diet all include species often associated with infection and disease 39 40 41 42 . Therefore, if the celiac children on an African-style gluten-free diet had imbalanced oral microbiota due to their disease state and diet, the westernisation of their diet apparently led to a different type of imbalance, favouring the growth of only a few microbial genera.…”
Section: Discussionmentioning
confidence: 99%
“…Abiotrophia and Granulicatella species are very common inhabitants in human normal oral microbiota, in spite of their fastidiousness in growth [9,11,18,19,20], and are significant causative pathogens of endocarditis, bacteremia, and other systemic infections [21,22,23,24]. They often cannot grow on commercial blood agar plates used for the usual clinical examination, and even if they could grow on supplemented culture plates, their colonies are sometimes small, 0.2 to 0.5 mm in diameter [1,25].…”
Section: Discussionmentioning
confidence: 99%