Nutritionally Variant Streptococcal Bacteremia in the 21st Century Report of 26 Episodes for a 12-Year Period (2006-2017) at a Large Community Teaching Hospital and Review of the Literature

Title

Nutritionally Variant Streptococcal Bacteremia in the 21st Century Report of 26 Episodes for a 12-Year Period (2006-2017) at a Large Community Teaching Hospital and Review of the Literature

Creator

Wright Edward A; Myers Joseph P

Publisher

Infectious Diseases In Clinical Practice

Date

2019
2019-09

Description

We report the results of a 12-year retrospective study of nutritionally variant streptococcal (NVS) bacteremia in a 510-bed, a large medical school-affiliated teaching hospital. Twenty-six episodes of NVS bacteremia were identified in this institutional review board-approved study of all positive blood cultures for NVS from January 1, 2006, to December 31, 2017. Most patients with NVS bacteremia were 50 years and older. Detection of bacteremia in the microbiology laboratory took from 2 to 11 days of incubation with an average of 4.65 days. Endocarditis was the most common source of bacteremia (7 patients), followed by primary bacteremia, skin and soft tissue infections, bone and joint infections, and device-associated infections. The mortality of patients in the study was 15% despite all but 1 patient who died receiving appropriate antimicrobial therapy immediately upon hospital admission. Nutritionally variant streptococcal bacteremia is uncommon, is frequently associated with infective endocarditis, is often detected late in the hospital course because of delayed growth of NVS organisms in blood culture media, and had a 15% mortality rate.

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

263-267

Issue

5

Volume

27

ISSN

1056-9103

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Affiliated Hospital

Summa Health System Akron City Hospital

Citation

Wright Edward A; Myers Joseph P, “Nutritionally Variant Streptococcal Bacteremia in the 21st Century Report of 26 Episodes for a 12-Year Period (2006-2017) at a Large Community Teaching Hospital and Review of the Literature,” NEOMED Bibliography Database, accessed January 15, 2021, https://neomed.omeka.net/items/show/10908.

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