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VOLUME 24 , ISSUE 10 ( October, 2020 ) > List of Articles

EDITORIAL

Bacteremia due to Streptococcus gallolyticus: A Name with an Ominous Significance?

Rajeev Soman, Rakshitha Eashwernath

Keywords : Bacteremia, Endocarditis, Streptococcus gallolyticus

Citation Information : Soman R, Eashwernath R. Bacteremia due to Streptococcus gallolyticus: A Name with an Ominous Significance?. Indian J Crit Care Med 2020; 24 (10):901-902.

DOI: 10.5005/jp-journals-10071-23623

License: CC BY-NC 4.0

Published Online: 01-04-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Streptococcus bovis is an underrecognized agent of systemic infections. It underwent reclassification into different subtypes and is currently termed as Streptococcus gallolyticus. Bacteremia due to S. gallolyticus has been traditionally associated with colon cancer or hepatobiliary disease and can result in endocarditis. Detection of S. gallolyticus in blood cultures prompts a thorough clinical evaluation in order to clarify the source of the bloodstream infection and the presence of complications. Subspeciation is crucial to understand the disease association, which is now possible with the use of phenotypic detection methods, such as, Vitek 2. The retrospective study by Niyas et al. serves to call attention to this organism and optimal approach to management.

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  1. Takamura N, Kenzaka T, Minami K, Matsumura M. Infective endocarditis caused by Streptococcus gallolyticus subspecies pasteurianus and colon cancer. BMJ Case Rep 2014;2014(may05 1):bcr2013203476 10.1136/bcr-2013-203476.
  2. Niyas VKM, Arjun R, Sasidharan A, Palakunnath GA. Streptococcus gallolyticus bacteremia: Experience from a tertiary center in South India. Indian J Crit Care Med 2020;24(10):943–945.
  3. Arias CA, Murray BE. Enterococcus species, Streptococcus bovis group and Leuconostoc species. In: Mandell GL, ed. Mandell, Douglas and Bennett's principles and practices of Infectious Diseases. 7th ed., Philadelphia: Churchill Livingstone Elsevier; 2009. pp. 2643–2652.
  4. Zammit SC, Azzopardi N, Ellul P. Streptococcus gallolyticus bacteraemia in hepatobiliary–pancreatic and colonic pathologies. QJM 2014;107(5):355–361. DOI: 10.1093/qjmed/hct261.
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