İsmet Faruk ÖZGÜNER, Zeynep Gökçe AYDIN GAYRETLİ, Gülsüm İclal BAYHAN, Özge METİN, Türkan TEKE AYDIN, Gönül TANIR, Fatma Nur ÖZ

Streptococcus gordonii bacteremia in an infant following gastric surgery

Streptococcus gordonii viridans grup streptokokların S. sangius grubundan olup ağız boşluğunun ve nadiren gastrointestinal kanalın normal flora üyesidir. S. gordonii hasarlı kalp kapağında kolonize olarak bakteriyel endokardite neden olur fakat sigmoidoskopi ve gastroduodenoskopi gibi gastrointestinal kanal girişimlerini takiben kan kültüründe nadiren ürer. Bu yazıda malrotasyon cerrahisini takiben S.gordonii bakteremisi gelişen 5 aylık hasta sunuldu. S. gordonii enfeksiyonunun kaynağı olarak malrotasyon cerrahisi düşünüldü. Bildiğimiz kadarıyla literatürde gastrik cerrahi sonrası S. gordonii bakteremisi gelişen çocuk vaka bulunmamaktadır.

İnfantta gastrik cerrahi sonrası gelişen streptococcus gordonii bakteremisi

Streptococcus gordonii is a viridans group streptococci of the S. sangius group that is normally a non-pathogenic inhabitant of the oral cavity and occasionally the gastrointestinal tract. S. gordonii is well-known for its ability to colonize damaged heart valves and cause bacterial endocarditis, but it rarely causes positive blood cultures in patients that undergo diagnostic procedures involving the gastrointestinal tract, such as sigmoidoscopy and gastroduodenoscopy. Herein we report a 5-month-old patient with bacteremia due to S. gordonii following a surgery for malrotation. The source of S. gordonii infection was thought to be the malrotation surgery. To the best of our knowledge, the literature does not include any pediatric cases of S. gordonii bacteremia following a gastric surgery.

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1. Macaluso A, Simmang C, Anthony T. Streptococcus sanguis bacteremia and colorectal cancer. South Med J 1998; 91: 206-7.
2. Facklam R. What happened to the streptococci: overwiev of taxonomic and nomenclature changes. Clin Microbiol Rev 2002; 15: 613-30.
3. Norfleet RG. Infectious endocarditis after fiberoptic sigmoidoscopy. With a literature review. J Clin Gastroenterol 1991; 13: 448-51.
4. Pentimone F, Del Corso L, Borelli A, Riccioni S, Salvatore L. Destructive endocarditis caused by Streptococcus sanguis on normal valves after gastroduodenoscopy. [Article in Italian]. Minerva Cardioangiol. 1991; 39: 245-9.
5. Sinner SW, Tunkel AR. Viridans Streptococci, Groups C and G Streptococci, and Gemella Species. In: Mandell GL, Bennet JE, Dolin R, editors. Mandell, Douglas and Bennetts Principles and Practise of Infectious Disease. 7th ed. Churchill Livingstone, Philadelphia; 2010. p. 2667-80.
6. Nobbs AH, Lamon;t RJ, Jenkinson HF. Streptococcus adherence and colonization. Microbiol Mol Biol Rev 2009; 73: 407-50.
7. Doern CD, Burnham CA. Its not easy being green: the Viridans Group Streptococci, with a focus on pediatric clinical manifestations. J Clin Microbiol 2010; 48: 3829-35.
8. Yombi Jc, Belkhir L, Jonckheere S, Wilmes D, Cornu O, Vandercam B, et al. Streptococcus gordonii septic arthritis: two cases and review of literature. BMC Infect Dis 2012, 12: 215.
9. Collazos J, Martinez E, Mayo J. Spontaneous bacterial peritonitis caused by Streptococcus gordonii. J Clin Gastroenterol 1999; 28: 45-6.
10. Cheung CY, Cheng NH, Chau KF, Li CS. Streptococcus gordonii peritonitis in a patient on CAPD. Ren Fail. 2011; 33: 242-3.
11. Siegert CE, Overbosch D. Carcinoma of the colon presenting as Streptococcus sanguis bacteremia. Am J Gastroenterol. 1995; 90: 1528- 9.
12. Fass R, Alim A, Kaunitz JD. Adenocarcinoma of the colon presenting as Streptococcus sanguis bacteremia. Am J Gastroenterol 1995; 90: 1343-5.
13. Murphy FL, Sparnon AL. Long-term complications following intestinal malrotation and the Ladd's procedure: a 15 year review. Pediatr Surg Int 2006; 22: 326-9.
14. Gordon KA, Beach ML, Biedenbach DJ, Jones RN, Rhomberg PR, Mutnick AH. Antimicrobial susceptibility patterns of beta-hemolytic and viridans group streptococci: report from the SENTRY Antimicrobial Surveillance Program (1997-2000). Diagn Microbiol Infect Dis. 2002;43:157-62.