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Similar Publications

Fatal Streptococcus pseudoporcinus disseminated infection in decompensated liver cirrhosis: a case report.

J Med Case Rep

May 2021

2nd Department of Internal Medicine and Research Laboratory, Medical School, National and Kapodistrian University of Athens, "Hippokration" General Hospital, Athens, Greece.

Background: Streptococcus pseudoporcinus (S. pseudoporcinus) was first identified in 2006. It cross-reacts with Lancefield group B antigen agglutination reagents and has been misidentified as S.

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Background: Maternal cardiac disease is the most common cause of indirect maternal death, and women with pre-existing cardiac disease have complex medical, obstetric and anaesthetic requirements. Our hospital commenced a multidisciplinary perinatal cardiac service in 2009 to optimise outcomes in women with cardiac disease.

Aim: To assess the maternal and perinatal outcomes of women referred to the clinic to evaluate clinical practice and inform future service provision.

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[Puerperal fever: an old enemy in aggressive form].

Ned Tijdschr Geneeskd

September 1997

Afd. Verloskunde en Gynaecologie, Høfpoort Ziekenhuis, Woerden.

Two previously healthy women, aged 30 and 35 years, suffered pain in the lower abdomen, one before and the other after spontaneous delivery at 40 and 33 4/7 weeks of amenorrhoea, respectively, while a third woman, aged 33, at 36 weeks of amenorrhoea developed pain in the lower abdomen, fever, vomiting, and diarrhoea. All three women were found to have a uterine infection caused by streptococci of Lancefield group A (group A Streptococcus, GAS). In one woman, the diagnosis was made rapidly so that antibiotic treatment could be instituted in time; the other two developed sepsis and multiorgan failure, with a fatal issue in one of them.

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Ninety-one Streptococcus milleri strains isolated from various systemic purulent lesions of 68 patients were examined by physiological and serological tests. Most strains formed a smooth colony (66 strains), did not form spontaneous aggregation of cells in BHI broth culture (79), were non-beta-haemolytic (alpha-35 or non-41), and belonged to biotype Ia (49) or Ib (34) and to API taxa S. milleri I (41) or II (38).

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Three strains each of Streptococcus pneumoniae, Lancefield group A streptococci, Lancefield group B streptococci and Lancefield group D streptococci were examined for the frequency of spontaneous mutation to give decreased susceptibility at two, four and six times the minimum inhibitory concentration of ofloxacin, ciprofloxacin, enoxacin and norfloxacin. Any putative mutants were examined for stability of resistance and susceptibility to all quinolones in the study, erythromycin and benzyl penicillin. All strains yielded mutants to twice the MIC of each quinolone at a frequency associated with a mutation at a single gene.

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