Pulmonary Nodules Associated With Gemella Bacteremia

Blitman, Netta M.; Steiner, Ari; Bell, Moshe D.; Wilks-Gallo, Lisa

doi:10.1097/01.rti.0000213582.21849.15

Journal of Thoracic Imaging

2007

DOI: 10.1097/01.rti.0000213582.21849.15

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Pulmonary Nodules Associated With Gemella Bacteremia

Netta M. Blitman¹,

Ari Steiner²,

Moshe D. Bell

et al.

Abstract: Gemella morbillorum and Gemella haemolysans are normal oral flora that can also be pathogenic. We report 2 cases of adolescents with osteosarcoma who developed multiple pulmonary nodules associated with Gemella bacteremia. These nodules mimicked metastatic disease. To our knowledge, this manifestation of Gemella infection has not been previously reported. In the setting of malignancy, infectious pulmonary nodules must be distinguished from metastatic nodules in order to treat appropriately.

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Cited by 3 publications

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Pneumonia and bacteraemia caused by Gemella morbillorum in a previously healthy infant: first reported case in literature

Hussain¹,

Hussain

Ashraf

2018

BMJ Case Reports

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A 5-month-old baby presented with a low-grade fever and tachypnoea and was found to have right upper lobe consolidation on chest radiograph. He was admitted with the diagnosis of bronchopneumonia and the treatment protocol for pneumonia was initiated. Blood culture samples were collected, and he was started on a course of intravenous amoxicillin–clavulanate. Blood culture results displayed pansensitive Gemella morbillorum bacteraemia and he was continued on intravenous antibiotic to which he responded in a short period and was discharged in good condition on the fourth day.

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Pneumonia and bacteraemia caused by Gemella morbillorum in a previously healthy infant: first reported case in literature

Hussain¹,

Hussain

Ashraf

2018

BMJ Case Reports

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CT Characteristics of Lung Nodules Present at Diagnosis of Extrapulmonary Malignancy in Children

Silva

Amaral

Moineddin

et al. 2010

American Journal of Roentgenology

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Breast, Milk and Microbes: A Complex Relationship that Does Not End with Lactation

Urbaniak

Burton

Reid

2012

Womens Health (Lond Engl)

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Until relatively recently, the extent of microbiota presence in the human breast was under-appreciated. A high-throughput sequencing study and culture-based studies have demonstrated the extensive presence of microbes in human milk, with their origin believed to be from the skin, oral cavity and via gut translocation. Since formula milk substitutes do not contain these bacteria, what benefits are denied to these infants? The addition of probiotic bacteria to some infant formula is meant to provide some benefits, but these only contain one species and the dose is relatively high compared with breast milk. Many questions of importance to women's health arise from these findings. When, how and what types of microbes colonize the breast at different stages of a woman's life, including postlactation, and what effect do they have on the host in the short and long term? This article discusses some aspects of these questions.

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Pulmonary Nodules Associated With Gemella Bacteremia

Cited by 3 publications

References 12 publications

Pneumonia and bacteraemia caused by Gemella morbillorum in a previously healthy infant: first reported case in literature

Pneumonia and bacteraemia caused by Gemella morbillorum in a previously healthy infant: first reported case in literature

CT Characteristics of Lung Nodules Present at Diagnosis of Extrapulmonary Malignancy in Children

Breast, Milk and Microbes: A Complex Relationship that Does Not End with Lactation

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