Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to<i>Streptococcus gordonii</i>Bacteremia

Liao, Chen-Yi; Su, Kuan-Jen; Lin, Chao‐Nan; Huang, Steve S.; Chin, Hong-Chan; Chang, Chin-Wen; Kuo, Wu‐Hsien; Ben, Ren-Jy; Yeh, Yen-Cheng

doi:10.1155/2016/9463895

Cited by 4 publications

(6 citation statements)

References 25 publications

(36 reference statements)

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“…S gordonii is a gram-positive, nonmotile, coccal, facultative anaerobic genus of the viridans group Streptococcus. [ 6 ] The Streptococcus viridans group is a heterogeneous group of organisms with controversial taxonomy [ 7 ] and can be further subclassified into 6 major groups: the Streptococcus anginosus group, Streptococcus mitis group, Streptococcus sanguinis group, Streptococcus bovis group, Streptococcus salivarius group, and Streptococcus mutans group. The S sanguis group includes S sanguis , Streptococcus parahaemolyticus , and S gordonii [ 8 ] (Fig.…”

Section: Discussionmentioning

confidence: 99%

Streptococcus gordonii finger infection: Case report and a review of the literature

Kang

Tan

et al. 2022

Medicine

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Rationale: Streptococcus gordonii is a rare cause of finger suppurative infection. Very few cases have been reported of its treatment. Patient concerns: A 68-year-old male of severe finger infection. Bacterial culture of synovial fluid revealed S gordonii.According to the patient’s history and auxiliary examination, the patient was diagnosed with S gordonii infection. Here, we review the diagnosis and treatment of this patient and describe the clinical and epidemiological characteristics of the patient. Diagnoses: Streptococcus gordonii finger infection. Interventions: In the case of ineffective oral antibiotics, this patient chose to pursue an abscess incision, but in the course of treatment,the flexor digitorum tendon dissolved and eventually ruptured. Outcomes: The infection was controlled after intravenous injection of vancomycin. The incision was sutured 2 weeks later. No recurrence of infection was found after 3 months of follow-up. Lessons: The treatment included antibacterial and abscess treatments. In the absence of drug sensitivity results, antibiotics can be used empirically. If empirical anti-microbial treatment fails, the antibiotic regimen should be changed in a timely manner, Vancomycin may be an antibiotic choice

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Section: Discussionmentioning

confidence: 99%

Streptococcus gordonii finger infection: Case report and a review of the literature

Kang

Tan

et al. 2022

Medicine

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“…S. gordonii is a Gram-positive, non-motile, coccus belonging to the viridians streptococcal group [2]. Generally present in the mouth and upper airway, this facultative anaerobe is capable of spreading to extraoral sites and causing infective endocarditis, septic arthritis, and toxic shock-like syndrome [3, 4]. Furthermore, some reports have described empyema caused by periodontal disease [5].…”

Section: Discussionmentioning

confidence: 99%

Empyema and pyogenic spondylitis caused by direct Streptococcus gordonii infection after a compression fracture: a case report

2019

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Background Empyema and pyogenic spondylitis are common diseases that are often caused by oral pathogens in direct or hematogenous infection. However, there exists no report describing empyema and pyogenic spondylitis caused by oral pathogens after a compression fracture of the vertebral body. Herein, we report a case of empyema and pyogenic spondylitis caused by direct Streptococcus gordonii infection after a compression fracture of the vertebral body. Case presentation A 74-year-old man had back pain while working. At 1 week after experiencing back pain, he underwent periodontal debridement. At 3 weeks after periodontal debridement, he visited our hospital owing to the absence of improvement in back pain. He was admitted on the same day with a diagnosis of compression fracture of the 12th thoracic vertebral body. Magnetic resonance imaging (MRI) revealed a compression fracture of the 12th thoracic vertebral body and a hematoma anterior to the vertebral body. Computed tomography (CT) showed no findings suggestive of infection. After admission, antibiotic therapy was initiated, as the patient developed fever and his blood cultures grew S. gordonii . CT performed after antibiotic therapy revealed a right-sided pleural effusion, and drainage was performed. As the inflammation did not improve after thoracic drainage for empyema, surgical debridement through video-assisted thoracic surgery was performed. Intraoperative pleural effusion cultures also grew S. gordonii . Postoperative MRI showed low T1-weighted signals and high T2-weighted signals in the 12th thoracic vertebral body, and the signals spread to the upper and lower intervertebral disk space; hence, a diagnosis of empyema and pyogenic spondylitis due to direct infection spread was established. Intravenous antibiotic therapy was continued for 6 weeks and then was switched to oral antibiotic treatment. His C-reactive protein level and erythrocyte sedimentation rate gradually decreased and remained within normal limits. Neither empyema nor pyogenic spondylitis had recurred at 12 months after surgery. Conclusions Compression fracture with dental procedures possibly results in the thoracic cavity and spinal infection caused by oral pathogens. We emphasize the importance of early imaging examinations, diagnosis, and appropriate treatment for patients with compression fractures who develop a fever.

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“…S. gordonii is commonly found in the mouth and is capable of spreading to extraoral sites, causing systemic infection [ 1 ]. S. gordonii , along with S. sanguinis and S. oralis, is commonly found in blood cultures of patients with infective endocarditis [ 2 ]. It is capable of colonizing platelet-fibrin thrombi on abnormal heart valves or the endocardium.…”

Section: Discussionmentioning

confidence: 99%

Streptococcus Gordonii Empyema: A Case Report and Review of Empyema

Krantz¹,

Ratnaraj

Velagapudi

et al. 2017

Cureus

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Streptococcus gordonii (S. gordonii) is a pioneer oral bacteria that is recognized as an agent of bacterial endocarditis. However, an extensive review of the literature revealed no reported case of S. gordonii causing empyema. We present a case of a 65-year-old male who presented with respiratory distress. Physical examination revealed several dental caries with decreased breath sounds in the bibasilar regions. A computed tomography (CT) scan of the chest and abdomen demonstrated left-sided pleural effusion and a 4.3 cm x 2.8 cm splenic abscess. He received intravenous (IV) antibiotics, and his blood cultures remained negative. Drainage of the splenic abscess grew S. gordonii. A CT-guided thoracentesis yielded 450 ml of exudative fluid. Pleural fluid cultures grew S. gordonii. A CT scan of the head and neck ruled out an intra-oral abscess. He received six weeks of IV penicillin with a follow-up CT scan showing resolution of both the splenic abscess and the left parapneumonic effusion.

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Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary toStreptococcus gordoniiBacteremia

Cited by 4 publications

References 25 publications

Streptococcus gordonii finger infection: Case report and a review of the literature

Streptococcus gordonii finger infection: Case report and a review of the literature

Empyema and pyogenic spondylitis caused by direct Streptococcus gordonii infection after a compression fracture: a case report

Streptococcus Gordonii Empyema: A Case Report and Review of Empyema

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