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infective endocarditis: incidence and mortality in the north east thames region.a survey of infective endocarditis in the north east thames regional health authority was carried out over a period of 30 months from 1982 to 1984. the incidence, clinical characteristics, and in-hospital mortality were studied. important causes of endocarditis were dental treatment, the presence of dental disease, drug abuse, and cytoscopy. the omission or incorrect administration of antibiotic prophylaxis in patients with valve disease was noted, but failure of correctly prescribed antibiotic ...19883342151
osteomyelitis of the distal phalanges in three children with severe atopic dermatitis.three children with severe, secondarily infected atopic dermatitis since infancy developed osteomyelitis of the distal phalanges of the hands. the insidious onset of one or more distal subungual black macules was followed by edema, erythema, and pain in the involved fingers. no child had an elevated erythrocyte sedimentation rate or fever, but all had roentgenographic or scintigraphic evidence of bony destruction. in two children, staphylococcus aureus grew from skin surface cultures; s aureus a ...19883345091
sudden death due to left coronary artery occlusion in infective endocarditis.a 44-year-old man died suddenly, shortly after admission to the hospital with complaints of abdominal pain. medical history was significant for chronic alcoholism and homozygous hemoglobin c disease. autopsy revealed vegetations on the aortic valve, especially on the left coronary cusp. there was anomalous origin of the coronary arteries from the left sinus of valsalva. the large vegetation on the left coronary cusp had extended into the left main-stem coronary artery and obstructed it. there wa ...19883415444
[preventive antibiotic administration in complicated rhinosurgical interventions--a double-blind study].revision rhinoplasty was performed in 100 patients. in most cases a complete rhinoplasty with septal reconstruction, osteotomies, wedge resection and free transplants had to be done. intranasal swabs for bacterial culture were taken pre- and postoperatively. 48 patients received three mega units of propicillin transorally for 12 days, 52 patients received a placebo. white blood count, erythrocyte sedimentation rate, and temperature were taken to indicate inflammation of the nasal region. turbid ...19883133529
[surgical aortic valve replacement for acute streptococcus viridans endocarditis with simultaneous moderate hemophilia a].this is a report of a 25-year-old patient with known aortic valve stenosis since early youth and hemophilia a, showing recurrent joint bleeding. acute streptococcus endocarditis induced aortic valve insufficiency resulting in cardiac failure. aortic valve replacement was performed after substitution of factor viii, during which intra- and postoperative bleeding was prolonged by pericardial adhesions. heparin was administered during cardiopulmonary-bypass as usual, but usual postoperative cumarin ...19883145652
multiple brain abscesses secondary to dental caries and severe periodontal disease.a case is reported in which an intra-oral focus of sepsis is thought to have resulted in the patient developing multiple brain abscesses without the presence of lung infection or cardiac valvular disease. the link between the two sites of infection is supported by the isolation of two streptococcus viridans species normally associated with dental caries and periodontal disease. the management of multiple brain abscesses is discussed.19883165021
infective endocarditis in children with congenital heart disease: the changing spectrum, 1965-85.thirty-five episodes of infective endocarditis in 35 children with congenital heart disease, from january 1965 to december 1984, were reviewed. the incidence of infective endocarditis in cyanotic congenital heart defects increased with a concomitant decrease in the frequency of lesions with left to right shunt. the incidence of postoperative endocarditis decreased from 1:52 during the first decade to 1:1033 during the second decade. the time interval between onset of symptoms and the establishme ...19883234417
management of catheter-related infections in pediatric patients.broviac catheters are commonly used to provide parenteral nutrition and access for infusion of blood products and drugs to pediatric patients. sepsis is the most common serious complication of continued catheter use. although removal of the catheter is generally recommended when it becomes contaminated, it may not be feasible to do so without compromising patient care. we evaluated the management of catheter-related infections in pediatric patients with and without removal of catheter. seventy-s ...19883278159
streptococcal endophthalmitis from contaminated donor corneas after keratoplasty. clinical and laboratory investigations.we report three cases of streptococcus viridans endophthalmitis following penetrating keratoplasty in which s viridans was cultured from the recipient eye, mccarey-kaufman (m-k) media, and corneoscleral rims. as a laboratory correlation, we investigated the ability of s viridans to survive in m-k medium supplemented with gentamicin. after m-k medium was inoculated with s viridans, it was stored overnight at 4 degrees c, after which the temperature was raised to 23 degrees c. periodic colony coun ...19883281643
[endocarditis prophylaxis with amoxicillin, clindamycin or erythromycin? serum bacteriostatic and bactericidal effect against streptococcus viridans].the effectiveness of antibiotic prophylaxis against endocarditis was assessed by testing the bactericidal and bacteriostatic action in serum of 12 healthy volunteers who had taken the recommended antibiotics according to laid down guidelines. blood was obtained from these subjects every two hours for 12 hours after oral intake of amoxicillin (3 g as a single dose), clindamycin (600 mg a single dose) or erythromycin (1.5 g plus another 0.5 g after six hours), the serum being tested against three ...19883292185
endotracheal aspiration for the bacteriological diagnosis of nosocomial- and measles-associated pneumonia.endotracheal aspirates were obtained from 51 young children for the microbiological diagnosis of pneumonia acquired in hospital or associated with measles or severe protein-energy malnutrition. the procedure proved safe and the information obtained assisted in the management of most cases. there was a fairly good correlation between the findings of gram stain and those of culture of the aspirates, which improved when only gram stains showing many or moderate numbers of bacteria were used. the ba ...19882467606
histamine release from human pulmonary mast cells induced by bacterial antigens.antigens of four bacteria (staphylococcus aureus, haemophilus influenzae, streptococcus viridans, branhamella catarrhalis) were tested for their ability to release histamine from human pulmonary mast cells recovered by means of bronchoalveolar lavages. for the sake of comparison the action of bacterial antigens on human mesenteric and adenoidal mast cells obtained by enzymatic dispersion of the tissues was studied. bal mast cells released histamine in response to all studied bacterial antigens. ...19882468267
[a clinical and experimental study of longatsef].data are reported of the results of clinical trials of the therapeutic efficacy of longaceph--a drug of the new generation of cephalosporins with a long period of half-decay--in acute pneumonia complicating influenza in 42 patients. the sensitivity of 120 microbial strains to longaceph was also studied. it was established that cephalosporin possesses a high efficacy in diseases caused by gram-positive and gram-negative microorganisms. a high degree of sensitivity to longaceph was observed in pne ...19892482583
survival of streptococcus viridans in gentamicin-supplemented mccarey-kaufman medium.our experience with three cases of streptococcus viridans endophthalmitis, following penetrating keratoplasty, prompted us to investigate the ability of gentamicin-supplemented mccarey-kaufman (m-k) medium to kill s. viridans contaminants. after inoculation of 20 cc of gentamicin-supplemented m-k with s. viridans, the m-k was exposed to temperature conditions similar to those that would be encountered by a donor cornea during storage (4 degrees c) and preoperative warming prior to keratoplasty ( ...19892496953
splenic abscess: presentation, treatment options, and results.pyogenic splenic abscess is a rare condition that tends to occur in patients with predisposing factors. the use of splenectomy or computed tomography-guided percutaneous drainage in 10 patients with splenic abscess is presented. in 8 of 10 cases, the diagnosis was based on abdominal computed tomography scan. seven of 10 patients were treated with splenectomy, and 3 were managed with computed tomography-guided drainage. abscess cultures included escherichia coli, enterobacter, streptococcus virid ...19892589597
[endocarditis with ionescu-shiley's bioprosthesis. long-term results].with the aim to attesting the ability of treated pericardial tissue to resist infection we analyzed the incidence of prosthetic valve endocarditis in 541 operative survivors with the ionescu-shiley (i-s) valve since january 1977. a total of 580 valves were available for the study, 21 (3.8%) sustained i-s endocarditis or 0.65% patients/annum. the mean age was 53.2 years; male/female ratio was 16/5. native endocarditis was present in 20 cases (3.6%). there were 13 aortic endocarditis (2 in cases o ...19892623299
[infectious endocarditis in a healthy valve, arising from another valve].we report a case of isolated aortic regurgitation complicated by active infective endocarditis with streptococcus viridans as causative organism. the affected structure was a previous normal mitral valve.19892624508
diagnostic flexible bronchoscopy in human immunodeficiency virus (hiv)-positive children.twelve children with laboratory evidence of human immunodeficiency virus (hiv) infection underwent diagnostic flexible bronchoscopy with washings or bronchoalveolar lavage at bellevue hospital center from october 1987 to april 1989. the patients included 7 boys and 5 girls ranging from age 3.5 months to 10 years 5 months. indications for bronchoscopy included respiratory distress with or without focal changes on chest radiograph in 11 patients, and persistent but asymptomatic right middle lobe c ...19892625388
[impact of infections on mortality in children with cancer].a study of the role infections play in the death of 29 children with cancer was conducted from 1983 to 1988. an infection was the main cause of death in twelve patients and was associated with hemorrhage in nine. five of the patients were free of infection at the time of their death. the most frequently found etiological agents found in hemocultures taken while still alive were: staphylococcus epidermidis, staphylococcus aureus, streptococcus viridans, salmonella enteritidis, escherichia coli, e ...19892627272
bacterial endocarditis in children: clinical and laboratory findings, and the role of echocardiography in its diagnosis and management.we report clinical and laboratory findings of 15 children with bacterial endocarditis, admitted to the department of child health, university of indonesia/cipto mangunkusumo hospital from february, 1987 to june, 1989. there were 8 boys and 7 girls with bacterial endocarditis, ranging in age from 10 weeks to 16 years. the diagnosis was suspected because of prolonged fever, with or without other manifestations, i.e. congestive heart failure, refractory anemia, or paroxysmal atrial tachycardia. the ...19892631025
a clinical evaluation of sulbactam/ampicillin in the treatment of pediatric infections.we have treated 42 episodes of pediatric infections with sulbactam/ampicillin since 1987. included were 9 cellulitis, 9 urinary tract infections, 5 cervical lymphadenitis, 4 meningitis, 2 thoracic empyema, 2 osteomyelitis, 2 sepsis, 1 furuncle, 1 perianal abscess, 1 dental abscess, 1 peritonsillitis, 1 salmonellosis, 1 shigellosis, 1 peritonitis, 1 suppurative thyroiditis, 1 infective endocarditis. responsible pathogens were escherichia coli in 8, staphylococcus aureus in 6, hemophilus influenza ...19892637593
therapeutic efficacy of the combination of aztreonam with cefotaxime in the treatment of severe nosocomial pneumonia. comparative study against amikacin combined with cefotaxime.the combination aztreonam + cefotaxime (az + ce) was compared to amikacin + cefotaxime (am + ce) in the treatment of nosocomial pneumonia acquired at the intensive-care unit. this study included a total of 33 patients fulfilling criteria for nosocomial pneumonia. 16 of them were randomly allocated to the az + ce group and 17 to the am + ce group. the empirical treatment was effective for 78% of az + ce cases and 92% of am + ce cases (p = ns). clinical care was observed in 77% of cases (10 out of ...19892659289
quantitative bacteriology of a case of acute parotitis.it is generally assumed that the microorganisms responsible for acute suppurative parotitis are facultative anaerobes, primarily staphylococcus aureus and streptococcus viridans. a quantitative microbiologic investigation of an aspirate of pus from the case we report revealed a microbial flora (5.1 x 10(6) cfu/ml) consisting entirely of strict anaerobes (fusobacterium nucleatum and peptostreptococcus anaerobius). the strain of f. nucleatum was sensitive to metronidazole but resistant to penicill ...19892682427
respiratory insufficiency in acute leukemia following treatment with cytosine arabinoside and septicemia with streptococcus viridans. 19892721663
[refractory anemia complicated by behçet's disease--report of three cases].three cases of refractory anemia (ra) are presented. they developed a complete, an intestinal, and an incomplete type of behçet's disease after 13 years, 6 months, and 4 years of illness, respectively. they showed normal or only slightly reduced neutrophil counts in spite of anemia and thrombocytopenia. although the precise etiology of behçet's disease is still obscure, it is suggested that immunological reactions against streptococcus viridans in chronic infection, and auto-oxidative damage ind ...19892769974
[production of experimental infective endocarditis in rabbit mitral valve prolapse induced by vagus stimulation].an experimental model of bacterial endocarditis was developed in rabbits with mitral valve prolapse which was induced by vagus stimulation. endocarditis was produced by injecting bacteria including pseudomonas pseudoalkaligenes (pathogenic for rabbits) and streptococcus viridans taken from human beings. both bacteria induced bacterial endocarditis with high incidence, which was augmented by higher dose or earlier administration of bacterial after producing mitral valve prolapse. similarly, verru ...19892778644
primary streptococcus viridans pneumonia.we describe three cases of acute uncomplicated bacterial pneumonia due to viridans streptococci in previously healthy adults, which were indistinguishable from those caused by other well-known respiratory pathogens. on arrival, all of these patients were treated with iv aqueous penicillin based on gram stain of sputum which showed predominant gram-positive cocci in pairs and chains. these specimens of sputum grew normal oral flora in the three cases. the diagnosis was confirmed by positive blood ...19892791680
bacteriology of unheated expressed breast milk stored at room temperature.thirty samples of unheated expressed breast milk (ebm) from thirty lactating mothers, stored at room temperature (rt) and in the refrigerator (at +4 degrees c), were examined for the degree of bacterial contamination at two hourly intervals upto eight hours. all the ebm samples contained bacteria, mostly of normal skin flora; staphylococcus albus 76.7%; streptococcus viridans 40%. potential pathogens were isolated in small numbers: escherichia coli 26%, streptococcus faecalis 13.6% and staphyloc ...19892791942
investigation of a streptococcus viridans pseudobacteremia epidemic at a university teaching hospital.for several months in 1986, an outbreak of streptococcus viridans pseudobacteremia occurred at a large teaching hospital. all sources of laboratory blood culture contamination were excluded. a retrospective epidemiological study indicated that one phlebotomist, "p," collected a disproportionate number of the positive blood cultures. further comparison of the paired blood culture results from the three months when the incidence was highest revealed a good concordance of results among all other ph ...19892794467
pulsed doppler and two-dimensional echocardiographic findings in coronary arteriovenous fistula complicated by bacterial endocarditis. a case report.coronary arteriovenous fistula (cavf) may occasionally be complicated by bacterial endocarditis. the actual anatomical site of infection has not been clearly defined. a 13-year-old boy with a cavf and streptococcus viridans bacteraemia is described. the origin of the fistulous tract and a vegetation in close proximity to the distal drainage site into the right ventricle was demonstrated by doppler two-dimensional echocardiography.19892919328
bacteriological study of extracted iucds.previous studies have shown the users of intrauterine devices have a 4.4 times greater risk of pelvic inflammatory disease. this present study intends to categorize the distribution of microbes in cultures from different types of extracted copper intrauterine devices (iucds). bacteriological studies of aerobic and anaerobic organisms were performed on the extracted iucds of 522 iucd users; 480 wearing a multiload cu 250, 15 wearing a copper t, 22 lippes loop and 5 a copper 7. cultures were ne ...198912283073
in vitro antibiotic susceptibilities of streptococcus viridans blood isolates from neutropenic patients. 198916312286
[infectious aortic endocarditis caused by streptococcus viridans mitis and acidominimus in a parenteral drug addict]. 19902094396
abnormal maxillary sinus radiographs in children: do they represent bacterial infection?thirty-three children with chronic tonsillitis and/or adenoid enlargement and without previous diagnosis of sinusitis were studied regarding the bacterial flora of their maxillary sinuses. puncture of maxillary sinus was performed at surgery (adenoidectomy and/or tonsillectomy) and aspirates were cultured. streptococcus pneumoniae was isolated from 8 of 12 (66.7%) patients whose x-rays showed completely opacified maxillary sinus. streptococcus viridans, streptococcus faecalis, and staphylococcus ...19902107515
cervical osteomyelitis due to i.v. heroin use: radiologic findings in 14 patients.we reviewed the radiographs of 14 patients who had cervical osteomyelitis and were iv heroin users. eleven were men and three were women. their age range was 33-48 years (mean, 39 years). eleven regularly used the jugular vein access, and three alternated between the jugular and femoral veins. initial radiographs of the cervical spine in 13 patients showed destruction of two or more vertebral bodies and the adjacent intervertebral disk, as well as a prevertebral soft-tissue mass. in one patient, ...19902115262
infective endocarditis: a prospective study of 60 consecutive cases.sixty cases of infective endocarditis were studied prospectively between may, 1985 and december, 1988. there were 40 males and 20 females with a mean age of 28 years. endocarditis was found on normal valves in 13 patients, on rheumatic valves in 30, on congenital lesions in 8, on prosthetic valves in 4 and on mitral valve prolapse in 5 cases. positive blood cultures were detected in 35 patients (58%). in addition bone marrow culture was positive in 1 and valves removed on surgery grew causative ...19902132422
streptococcus viridans osteomyelitis with endocarditis presenting as acute onset lower back pain.an elderly male with a history of diabetes mellitus and a recent dental procedure presented to the emergency department with acute lumbosacral pain and low grade fever. computerized tomography (ct scan) and magnetic resonance imaging (mri) yielded a presumptive diagnosis of pyogenic vertebral osteomyelitis. a diagnosis of viridans streptococcus vertebral osteomyelitis was confirmed by gallium scanning and blood culture. the literature has emphasized the occurrence of pyogenic vertebral osteomyel ...19902142706
the role of skin testing for penicillin allergy.skin testing for penicillin allergy is an imperfect predictor of severe allergic reactions. we used decision analysis to identify the types of allergy history for which skin testing should alter management. the treatment threshold, the probability of a serious allergic reaction at which point one should switch from penicillin to another antibiotic, depends on the quality of life associated with the clinical outcomes. we measured 12 physicians' attitudes toward the outcomes of treatment with peni ...19902203324
fatal streptococcus viridans septicemia and meningitis: relationship to fetal scalp electrode monitoring.viridans streptococci have been reported as an increasingly frequent pathogen in neonatal sepsis. these infections have appeared to be less virulent than those associated with other bacteria. the case of an infant is reported who developed a scalp abscess secondary to an internal fetal monitoring electrode caused by viridans streptococci. this infection evolved into a rapidly fatal septicemia and meningitis. viridans streptococci may be responsible for virulent fatal infections in neonates.19902213268
[pulmonary abscesses in material from tuberculosis and lung disease clinics of the academy of medicine in gdansk].47 patients with pulmonary abscesses were analysed. the type of bacteria cultured from the sputum, type of chemotherapy and clinical outcome were assessed. most of the patients (34) were already treated prior to admission to the department. most often with doxycycline and gentamycin. the following organisms were cultured: streptococcus viridans, escherichia coli, staphylococcus aureus and klebsiella pneumoniae. antibiotic therapy was always instituted according to the antibiogram. most often ami ...19902216912
[prosthetic valve endocarditis].from january/1983 to march/1988, 28 patients were submitted to valve replacements for prosthetic valve endocarditis in 1,512 valve replacements. seventeen patients were male, their mean age was 36.7 +/- 12.9 years old, and eight cases were operated under emergency condition. the blood cultures were positive in 14 (50%), the agent most commonly found being streptococcus viridans in 5 cases. hospital mortality was 28.5%. the causes of death were septicemia in 4 cases, low output syndrome in 2 case ...19902232391
[clinical analysis of 53 cases of septicemia caused by streptococcus viridans in children].the clinical analysis has been performed in 53 cases of sepsis induced by streptococcus viridans. among children with diagnosis of sepsis majority of cases in group of older infant and children up to 2 year age was due to above infection. the s. viridans strain isolated form the blood were in 90% percentage resistant to cloxacillin , the resistance to penicillin, ampicillin and gentamicin was equal to 70%, 50% and 34% respectively. the main symptoms of the s. viridans sepsis was most frequently ...19902236628
[waterhouse-friderichsen syndrome in adults].only a minority of published cases of waterhouse-friderichsen-syndrome occurred in adults (harms et al., 1973). at the autopsy of a 23 years old woman there were found sugillations of the eyelid, of the peri- and epicard, of the serosa of the small intestine and of the lung. in the region of the adrenal gland a brownish-red mass was detectable. histologically an adrenal apoplexy with necrosis and in liver, spleen and lung a lot of neutrophils were seen. streptococcus viridans was pointed out in ...19902241795
suture-wick endophthalmitis with sutured posterior chamber intraocular lenses.a patient had a corneal transplant with removal of an anterior chamber lens. as part of the procedure, an exchange posterior chamber lens was inserted and sutured transsclerally into the ciliary sulcus with two subconjunctival 10-0 polypropylene (prolene) sutures. one month later the patient experienced a sudden decrease in vision and severe eye pain. streptococcus viridans was cultured from the vitreous tap and the eye eventually was lost from this endophthalmitis. the infecting organism appear ...19902258814
septic arthritis due to streptococcus viridans. 19902261714
ceftriaxone monotherapy for bacterial meningitis in children.a total of 33 patients with bacterial meningitis were treated with single daily doses of ceftriaxone (ctr 100 mg/kg/day i.v.) for a median duration of 13 days. pathogens isolated by culture and/or determined by latex agglutination were 15 haemophilus influenzae b, 7 neisseria meningitidis, 2 streptococcus pneumoniae, 1 group b streptococcus, 2 streptococcus viridans and 2 staphylococcus epidermidis. in 4 cases a diagnosis of purulent meningitis could only be made by means of the inflammatory liq ...19902292206
infectious crystalline keratopathy associated with topical anesthetic abuse.two patients with infectious crystalline keratopathy associated with topical anesthetic abuse are described. no previously reported predisposing factors existed, including topical corticosteroid use during active herpes simplex or acanthamoeba keratitis, or following penetrating keratoplasty. cultures from corneal biopsies of both patients grew streptococcus viridans. both infections resulted in corneal scarring with vascularization. ultimately, corneal transplantation was performed in one case.19902297999
[streptococcus viridans and respiratory failure in acute leukemia].through the last 18 months, five of our patients with acute leukaemia have developed septicaemia caused by streptococcus viridans, followed by acute respiratory failure. two patients had to be placed in a respirator. in patients with acute leukaemia treated with cytostatic drugs, close clinical observation, including repeated blood gas analysis, is very important if they develop septicaemia caused by streptococcus viridans. early administration of high doses of corticosteroids seems to be import ...19902300957
infectious endocarditis in children.with the object of analyzing current characteristics of infectious endocarditis (ie) in children, we carried out a retrospective study of 23 cases of ie in children under 15 years of age seen at the hospital ramón y cajal in madrid (spain) between 1977 and 1985. the incidence was high (1.3 cases per 1000 children admitted). the male/female ratio was 2:1. eight patients were under 2 years of age and 15 over 2 years, the majority being adolescents. the two groups presented marked etiological and p ...19902349146
endocarditis associated with prosthetic cardiac valves.clinical features, microbiology, therapy and outcome of 26 episodes of prosthetic valve endocarditis occurring at westmead hospital from 1979 to 1989 were examined retrospectively. presentation with a new or changed cardiac murmur was associated with early onset infection (within 12 months of prosthetic valve insertion; p = 0.0033). corynebacteria were the commonest cause of early onset endocarditis (4 of 11 episodes) and streptococcus viridans of late onset endocarditis (4 of 15 episodes). nine ...19902381336
infectious crystalline keratopathy.a 76-year-old patient was found to have a crystalline keratopathy with no evidence of acute inflammation in her right corneal graft. the patient had been on long-term topical steroids. subsequent microscopy of the graft demonstrated pockets of gram-positive cocci with a paucity of inflammatory cells. this is the tenth reported case of infectious crystalline keratopathy, first reported by gorovoy in 1983. it does not always occur in corneal grafts, but the use of long-term topical steroids, toget ...19902390241
the incidence of bacteremia associated with emergent intubation: relevance to prophylaxis against bacterial endocarditis.to examine the incidence of bacteremia associated with emergent nasotracheal intubation.19902398991
management of empyema thoracis.over a 5-year period, 65 adult patients with empyema thoracis were treated. the cause of the empyema was postpneumonic in 52%, postresectional in 24%, a complication of minor surgical procedures in 14%, posttraumatic in 5%, and the result of miscellaneous causes in 5%. in the postpneumonic group, infection resulted from a single aerobic organism in 41%, multiple aerobic organisms in 9%, single anaerobic organisms in 12%, and mixed aerobic-anaerobic organisms in 18%. peptostreptococcus, streptoco ...19902400254
prostatic abscess caused by streptococcus mutans.the first reported case of prostatic abscess caused by streptococcus mutans isolated in pure culture is described. urethral dilation for obstruction was unsuccessful, so suprapubic cystostomy was performed. perineal aspiration under ultrasonic guidance resulted in 10 ml of pus containing pure strep mutans. diagnosis of prostatic abscess is difficult since the clinical manifestations are nonspecific.199022553446
[method and procedures in bacteriological study of necrotic teeth].research was conducted of 160 radicular canals with necrotic pulp. results of different bacteriological analyses are presented. culture analyses in aerobic and anaerobic media, resulted in the isolation of staphylococcus epidermidis, streptococcus viridans and corynebacterium sp in the group studied, as the most frequent bacteria. there was no evidence of a specific germ linked with the pulp necrosis.19911659855
brain abscess following endoscopic injection sclerotherapy: report of a case.a 33-year-old male patient with hepatitis b surface antigen positive cirrhosis, received 2 courses of endoscopic injection sclerotherapy for bleeding esophageal varices. a streptococcus viridans brain abscess developed 2 weeks after the first sclerotherapy (or 1 week after the second sclerotherapy). in cirrhotic patients, an increase in pulmonary vasodilatation and pulmonary arteriovenous shunting has been well recognized. sclerosant as well as bacteria may pass through a pulmonary arteriovenous ...19911683387
prediction of rapid versus prolonged healing of infective endocarditis by monitoring vegetation size.the diagnostic value of transesophageal echocardiography in monitoring the clinical course has been evaluated in 83 patients with echocardiographic evidence of infective endocarditis. a total of 103 vegetations attached to the aortic or mitral valves were detected by use of the transesophageal approach. the patients were monitored for a mean of 74 weeks and underwent a minimum of two consecutive transesophageal echocardiographic examinations. group a included patients with increasing or remainin ...19911742034
acute purulent pericarditis in omani children.a total of eight children admitted to the royal hospital, muscat with purulent pericardial effusions were analysed. six of the cases were in children less than 2 years of age. five of the eight children had positive blood cultures: haemophilus influenzae was cultured from two patients, streptococcus pneumoniae from one patient, e. coli from one patient and streptococcus viridans from the remaining child. in three children both blood and pericardial cultures were sterile; two of these children ha ...19911784056
forty year review of bacterial endocarditis in infants and children.from 1950 through 1989 at tokyo university's department of pediatrics, 25 children were treated for bacterial endocarditis. twenty-two of these patients had previously been diagnosed as suffering from congenital heart disease. twenty one of the 25 patients had positive blood cultures. streptococcus viridans was the most common organism isolated, although the incidence of streptococcus viridans infection has decreased in the last 20 years. in present series only a few post-surgical cases with con ...19911799115
normal vaginal aerobic and anaerobic bacterial flora of the rhesus macaque (macaca mulatta).the most common bacterial species isolated from the vaginas of 37 healthy rhesus macaques were streptococcus viridans, coagulase negative staphylococcus, mobiluncus curtisii ss. curtisii, corynebacterium renale-like organisms, peptostreptococcus anaerobius, gardnerella-like organisms, and other corynebacterium species. the vaginal flora of the rhesus macaque differs from that previously reported for five other primate species. a two-year retrospective review of clinical cases of vaginitis and me ...19911803013
infectious crystalline keratopathy occurring in an eye subsequent to glaucoma filtering surgery with postoperative subconjunctival 5-fluorouracil.we present a case of infectious crystalline keratopathy occurring after 5-fluorouracil filtering surgery. the patient had discrete, branching, white crystalline lesions in the anterior corneal stroma. cultures grew streptococcus viridans, and gram-positive cocci were demonstrated in corneal tissue biopsy specimens. toxic and immunosuppressive properties of 5-fluorouracil may have participated in the pathogenesis of the infectious crystalline keratitis.19911891189
[a case of mitral stenosis developing infective endocarditis 18 months after ptmc].we presented here a case of mitral stenosis developing infective endocarditis 18 months after ptmc. a 33-year-old male was admitted to our hospital for the evaluation of mitral stenosis with signs of congestive heart failure. the use of ptmc was adequately indicated based on the data of previous cardiac catheterization and was successfully performed. the post-operative clinical course was good leaving only slight mitral regurgitation demonstrated by post-valvuloplasty lvg. about 18 months after ...19911896668
microbiology of chronic sinusitis in children.to better understand the factors involved in chronic sinusitis in childhood, we cultured the sinuses, middle meatus, and nasopharynx in 39 children requiring surgical intervention. sixty-nine percent of these patients had other medical problems, including asthma (49%) and immunologic compromise (18%). we cultured coagulase-negative staphylococcus in 18 patients, streptococcus viridans in 14 patients, normal flora in 10 patients, staphylococcus aureus in nine patients, group d streptococcus in fi ...19911910729
bacterial arthritis.in this review of the 1990 septic arthritis literature, we revisit synovial fluid leukocytosis, examine the utility of synovial fluid glucose and protein measurements, and look at the levels of two cytokines, tumor necrosis factor and interleukin-1, in infected joint fluids. we see the many faces of gonococcal arthritis and the ravages of septic arthritis when the host has rheumatoid arthritis. should we recommend antibiotic prophylaxis for the rheumatoid patient with a prosthetic joint who is u ...19911911055
spontaneous bacterial peritonitis in a healthy male caused by streptococcus viridans. 19911913382
infectious complications of pediatric liver transplantation.twenty-five pediatric orthotopic liver transplantations (olts) performed in 22 patients at sainte-justine hospital were reviewed for infections complications. one patient died within 12 hours posttransplantation and is excluded. the patients had an average age of 6.1 years (range, 1.25 to 19 years) and an average weight of 20.4 kg (range, 11 to 55 kg). two patients (9%) were cytomegalovirus (cmv) seropositive and 9 of 19 patients (48%) were epstein-barr virus (ebv) seropositive preoperatively. f ...19911919982
contact lens-related streptococcus viridans keratitis presenting as an epithelial defect. 19911929919
[antimicrobial activity of ceftazidime and its pharmacokinetics in patients with renal failure].high antimicrobial activity of ceftazidime against clinical gram-positive (except streptococcus viridans and s. faecalis) and gram-negative strains of microorganisms was shown. it was found that the drug dosing regimens required correction in cases with impaired excretion function of the kidneys. hemodialysis lowered 2-4 times the drug blood levels.19911953171
infections, preterm delivery, and perinatal death in midgestation.amniotic fluid infection results in considerable pregnancy wastage in the second and early third trimesters. in our study of 1119 perinatal autopsies amniotic sac infection was associated with death in 133 fetuses and neonates in midgestation. these cases accounted for almost 12% of all perinatal autopsies and for 20% of all perinatal autopsies in midgestation at women and infants hospital during the past decade. gram-positive organisms, especially coagulase negative staphylococcus, group b stre ...19912000473
streptococcus viridans infections in midgestation.during a 14-year period streptococcus viridans was isolated at autopsy from 18 neonates or stillborn fetuses delivered in midgestation (18-28 weeks) at women & infants' hospital in providence, rhode island. evidence of swallowed and/or aspirated, infected amniotic fluid by the fetus was found in 16 of 18 cases along with chorioamnionitis and funisitis. of the 18 cases, maternal infection was documented in 6 cases; delivery was preceded by spontaneous rupture of membranes in 9 cases and vaginal b ...19912014194
aerobic bacteria from nasal discharge of goats suffering from clinical ppr: isolation and identification.bacteriological isolation of aerobic bacteria from nasal discharge of achondroplastic west african dwarf goats showing clinical signs of peste des petits ruminants (ppr), and the laboratory procedures carried out for the identification of the isolates are described. from a total of forty nasal swabs obtained seventy five isolates were recovered. the percentage frequency of isolation of different organisms in descending order of occurrence is as follows: staphylococcus 44.0%; streptococcus 22.67% ...19912023545
[reducing vaginal flora by preoperative disinfection].in 70 gynaecological patients vaginal disinfection by povidone-iodine and chlorhexidine solution (lec) was investigated. the preoperative bacterial spectrum corresponded to the specifications in literature. only lactobacilli were found in fewer cases than expected, an effect, which was explained by the povidone-iodine sanitation of the vagina a day before the operation. in cases of disturbed lactobacilli flora, facultative pathogen species were found in high concentrations up to 10(6) cfu/ml. ge ...19912026302
[infectious endocarditis from the morphologic viewpoint: on the pathology and clinical aspects of 97 autopsy cases].in continuous autopsy material between 1978 and 1987 an infectious endocarditis was present in 97 cases of 8745 postmortem examinations. hospital acquired or iatrogenic infections were at the top of the list with 60% contribution and intravasal devices, cardiovascular or abdominal surgery acting as predominant entrance spots of the infection. in community acquired disease the portal of entry could not be ascertained in most of the cases. the spectrum of causative organisms showed staphylococcus ...19912030661
[bacteremia in febrile children].bacteremia in children under 2 years of age is not uncommon. several studies indicated that a small proportion of young children with fever who do not appear to be seriously ill may have bacteremia, and a small proportion of this subgroup may go on to develop serious illness such as meningitis. the rationale for this study was to assess both the incidence of bacteremia in febrile children in taipei area and the predictive value of the white blood cell count and degree of body temperature for bac ...19912039970
[clinical evaluation of sultamicillin in lower respiratory tract infections].clinical efficacy and safety of sultamicillin (sbtpc) in patients with lower respiratory tract infections, mainly pneumonia and bronchitis, have been evaluated in a multicenter trial by 19 institutions in the kyushu area during a period of 12 months from december 1988 to november 1989. 1. clinical evaluation was made in 132 patients and efficacy rates of sbtpc were 80.0% (28/35) for pneumonia, 78.5% (73/93) for bronchitis and 100% for the remaining 1 patient with other respiratory tract infectio ...19912041156
[neonatal conjunctivitis in a nursery and a neonatal unit].after credé prophylaxis was abandoned at our hospital in 1984 scrupulous clinical surveillance of all neonates for conjunctivitis, and bacterial cultures from purulent eye discharge, have become routine. during the two-year period 1 march 1987 to 28 february 1989, testing for chlamydia trachomatis (eia-technique) was added in all infants with clinical conjunctivitis. during the period concerned there were 332 cases of conjunctivitis among 4,520 live born infants, an incidence of 7.3%. the incide ...19912042130
endocarditis in a cow.bacterial endocarditis of the tricuspid valve was diagnosed in a cow with weight loss, reduced milk production, and intermittent fever. clinical signs of disease included jugular and mammary vein pulses, tachycardia, large cardiac silhouette, and grade-iii/v holosystolic murmur. the diagnosis was also supported by echocardiographic findings and isolation of streptococcus viridans from blood samples. the cow was treated with penicillin, furosemide, acetylsalicylic acid, heparin, and potassium chl ...19912061158
orbital cellulitis caused by eikenella corrodens.eikenella corrodens is a gram-negative, facultative anaerobic bacillus with specific culture and growth requirements and unusual antibacterial susceptibilities. it has only recently been recognized as a human pathogen. ocular and adnexal infections with this organism are rare especially in children. we treated two children with orbital cellulitis caused by e. corrodens. one was an 8-year-old boy; the other was an 11-year-old girl. orbital cellulitis in both patients occurred after an upper respi ...19921443020
dental caries and its determinants among recent immigrants from rural ethiopia.adults (35-45 yr old) and children (5 and 12 yr old) recently arrived in israel from rural areas in ethiopia were examined. caries levels were low: e.g. dmft = 0.31 among 12-yr-olds, and 1.27 amongst adults. the 5-yr-olds were 86.8% caries-free, while 12-yr-olds were 81.8% and adults 54% caries-free respectively. according to interview data, the diet in ethiopia had been based on local agricultural products and was almost sugar-free. the mean total count of salivary bacteria, as determined on bl ...19921464228
does primary streptococcus viridans pneumonia exist?in 4 adult black patients admitted to an urban general hospital with community-acquired pneumonia, streptococcus viridans alone was isolated from blood culture (first subculture), in the absence of any other positive microbiological finding. sputum examination by gram staining and culture in 3 cases was reported as negative. echocardiography was performed in 3 cases and was normal, without evidence of endocarditis. the clinical course of illness in the 4 patients is described. the chest radiogra ...19921465696
[surgical treatment of infected left atrial myxoma--a case report].a 22-year-old man had undergone dental therapy following an intermittent fever, and the bacteriological examination by blood culture identified streptococcus viridans. a left atrial myxoma was echocardiographically found out and the tumor was surgically resected with uneventful postoperative course. multiple foci and gram-positive cocci within the typical myxoma were revealed histopathologically. reviewing previous reports on infected cardiac myxoma, the coexistence of cardiac myxoma and a confi ...19921491206
streptococcal bacteremia in neutropenic adult patients.in order to define the circumstances of occurrence, clinical presentation and prognostic factors of streptococcal bacteremia in neutropenic patients, we retrospectively reviewed 60 cases of streptococcal bacteremia following intensive chemotherapy for acute myeloblastic leukemia (aml), acute lymphoblastic leukemia (all) or allogeneic bone marrow transplantation. causative streptococcal species included streptococcus viridans (42 cases), streptococcus faecalis (12), streptococcus pneumoniae (4) a ...19921502026
post-tonsillectomy bacteraemia.post-tonsillectomy bacteraemia is a well recognized aetiological factor in streptococcal endocarditis. prophylactic penicillin has been recommended to reduce its incidence in susceptible patients undergoing tonsillectomy. recent studies have shown a change in the microflora and an increase in the number of penicillin resistant organisms in the tonsils of patients undergoing tonsillectomy. the aim of this study has been to assess the incidence of post-tonsillectomy bacteraemia, identify the organ ...19921505085
bronchitis mimicking opportunistic lung infection in patients with human immunodeficiency virus infection/aids.purulent bronchitis was identified in 19 of 422 patients undergoing fiberoptic bronchoscopy during a 32-month period because of suspicion of an opportunistic lung infection complicating acquired immunodeficiency syndrome or human immunodeficiency virus infection. five patients had pneumocystis carinii pneumonia, but other opportunistic lung infections were excluded in the remaining 14 patients. characteristics of these 14 patients included fever (greater than 38.3 degrees c), cough, and dyspnea ...19921518586
ophthalmia neonatorum in northern norway. ii. microbiology with emphasis on chlamydia trachomatis.in a population of 1928 neonates in northern norway, ophthalmia neonatorum was diagnosed in 18.9%, including mild and self-limiting cases. sixteen out of 269 (6.0%) cultured cases were positive for chlamydia trachomatis. no gonococcal ophthalmia was seen. in neonates whose symptoms began in the maternity wards, the distribution of the isolated microorganisms (mainly staphylococcus aureus) was different from those in whom symptoms began after discharge (mainly s. aureus, staphylococcus species (c ...19921557970
capd peritonitis--initial presentation as an acute abdomen with a clear peritoneal effluent.accepted criteria for the diagnosis of peritonitis in capd include: 1. symptoms and signs of peritoneal irritation; 2. a cloudy effluent with white blood cell (wbc) count greater than 100/microliters and; 3. a positive culture. in fact, the earliest suggestive sign of peritonitis is a turbid effluent. however, symptomatology of peritoneal irritation may precede the development of a cloudy fluid. we hereby report on two capd patients with culture proven peritonitis whose initial presentation was ...19921563121
the mechanisms of preterm labor: common genital tract pathogens do not metabolize arachidonic acid to prostaglandins or to other eicosanoids.our aim was to determine the ability of pathogens commonly associated with genital tract infection and preterm labor to incorporate arachidonic acid and to metabolize it to prostaglandins or to other eicosanoids.19921595810
[a clinical study on panipenem/betamipron in chronic respiratory tract infections].panipenem/betamipron (cs-976, papm/bp), a new carbapenem antibiotic, was administered a single dose of 500 mg or 750 mg via intravenous drip infusion twice a day for treatment of chronic respiratory infection to study its clinical efficacy, bacteriological efficacy and safety. twenty nine cases were studied for the efficacy evaluation. only the safety evaluation was made in 6 cases which were judged to be unsuitable, because in some of them pneumonia and other diseases were not specified as the ...19921613969
mycotic aneurysm of the tibioperoneal trunk: case report and review of the literature.peripheral mycotic aneurysms can occur when septic emboli lodge in either the lumen or the vasa vasorum of a peripheral vessel. such aneurysms have become rare after the widespread use of aggressive antibiotic treatment for bacterial endocarditis. we report the case of a large mycotic aneurysm of the tibioperoneal trunk 18 months after an episode of streptococcus viridans bacterial endocarditis. treatment included complete resection of the aneurysmal sac with restoration of circulation to the po ...19921619727
streptococcus viridans-induced crystalline keratopathy and fungal keratitis. 19921621791
[oro-pharyngeal flora in severely burned patients].throat cultures were taken in thirty-seven cases of burned patients, and also, at the same time, from twenty-three healthy persons. the results showed that the essential oro-pharyngeal flora in healthy persons were neisseria (65.7%) and streptococcus viridans (14.3%), and staphylococcus aureus was obtained occasionally. in twenty-five out of thirty-seven patients dominant growth of invaders was observed. the prominent aerobic bacteria in patients included serratia (9.33%), pseudomonas aeruginosa ...19938221319
[infectious endocarditis in a drug addict].to compare two groups of patients with infective endocarditis, the drug addicts and non-drug addicts. we attempted to set particularities among the various aspects that involve the patient with endocarditis, due to the concurrent chronic use of cocaine intravenously.19938240037
aorto-left atrial fistula in prosthetic aortic endocarditis.aortic valve endocarditis commonly leads to the formation of a root abscess, but fistulae are uncommon. the echocardiographic findings in a patient with streptococcus viridans endocarditis of a prosthetic aortic valve associated with a fistula between the aorta and the left atrium are presented. the diagnosis was made by transthoracic echocardiography, although the transesophageal study gave higher resolution views and allowed a more confident exclusion of mitral valve involvement.19938269153
infective endocarditis in the transesophageal echocardiographic era.during a 45-month period, 50 consecutive patients with infective endocarditis were evaluated at the national taiwan university hospital with emphasis on the role of transesophageal echocardiography (tee) in the management of these patients. among them, rheumatic heart disease was still the most common underlying cardiac disorder (10/50, 20%), while mitral valve prolapse (8/50, 16%) and congenital heart disease (8/50, 16%) were also frequently encountered. more than one third (19/50, 38%) had no ...19938281542
chronic postoperative endophthalmitis following cataract extraction and intraocular lens implantation. report on nine patients.between 1987 and 1992, nine patients (three men and six women; mean age, 75 years) presented with chronic postoperative endophthalmitis after cataract extraction and intraocular lens (iol) implantation. eight patients were referred from another institution. the interval between iol implantation and the beginning of intraocular inflammation averaged 5.6 months (range, 1-19 months). the referral diagnosis was "toxic lens" syndrome in seven patients. the main clinical findings were a hypopyon in th ...19938312828
spontaneous and experimental infections in scid and scid/beige mice.severe combined immunodeficient (scid) mice are valuable animals to study a variety of physiologic and disease processes. their capacity to support multiple tissue xenografts permits these mice to be used as intermediate models for host-specific, fastidious organisms for which a small animal model has not been available previously. however, because they are unable to mount a normal immune response, they are very susceptible to a variety of primary and opportunistic microbial pathogens. fatal, na ...19938320959
[treatment with vancomycin of experimental endocarditis caused by streptococcus sanguis ii resistant to penicillin].streptococcus viridans continues to be the most frequent causal agent of infective endocarditis. treatment has become more complicated due to the increase in resistance to penicillin and cephalosporins. in order to study the possible efficacy of vancomycin, this antibiotic was investigated in rabbits as a monotherapy and in association with gentamicin. the effects were compared with a control group and a group given classical penicillin-gentamicin treatment.19938324022
the efficacy of teicoplanin in the treatment of endocarditis caused by gram-positive bacteria.twenty-six patients with endocarditis caused by streptococcus viridans (n = 12), enterococcus faecalis (n = 5), streptococcus bovis (n = 2), staphylococcus aureus (n = 3) and staphylococcus epidermidis (n = 4) were treated with teicoplanin at a dose of 600 mg/day in patients with normal renal function (creatinine clearance 80-120 ml/min) and at a dose of 400 mg/day in patients with moderately impaired renal function (creatinine clearance < 75 ml/min). in nine patients valve replacements were per ...19938335503
[neisseria mucosa endocarditis complicated by intracerebral aneurysm].serious complications, such as emboli and mycotic aneurysms, are still frequent in documented cases of infective endocarditis. infecting organisms other than streptococcus viridans and staphylococcus are becoming more common.19938338418
[reversible contact lesion in mitral valve endocarditis--follow-up study with transesophageal echocardiography].this is a case report of a 59-year-old patient with an endocarditis of the mitral valve caused by streptococcus viridans. precordial echocardiography showed a highly mobile vegetation of the anterior mitral leaflet prolapsing during systole into the left atrium. during diastole contact with the ventricular septum caudally to the left ventricular outflow tract was noted. by using transesophageal echocardiography (tee), this zone appeared as a localized increased echogenity of the parietal endocar ...19938351947
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