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Clin Infect Dis. 1996 Jun;22(6):1084-6.

Gemella morbillorum as a cause of septic shock.

Author information

1
Division of Infectious Diseases, Schneider Children's Hospital, New Hyde Park, New York 11040, USA.

Abstract

The gram-positive bacterium Gemella morbillorum has been recovered from patients with endocarditis but has rarely been associated with acute fulminant infections. We describe two children with a rapid onset of septic shock, which was fatal in one, following infection with this organism. G. morbillorum is a commensal organism of the upper respiratory tract; it gained access to the bloodstreams in these patients, and bacteremia occurred. A clinical drawback is that the initial colonial morphology of this organism leads to presumptive identification as a viridans streptococcus, an organism not commonly associated with septic shock syndrome. Resistance of G. morbillorum to penicillin appears to be common; therefore, initial empirical combination therapy (a beta-lactam agent and an aminoglycoside) or vancomycin treatment should be considered.

Comment in

PMID:
8783715
DOI:
10.1093/clinids/22.6.1084
[Indexed for MEDLINE]

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