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Septicemia with Streptococcus pseudopneumoniae: report of three cases with an apparent hepatic or bile duct
Kurt Fuursted1, Pia Jeanette Littauer2, Thomas Greve3
1a Department of Microbiology & Infection Control , Statens Serum Institut , Copenhagen , Denmark ;
Abstract:
Streptococcus pseudopneumoniae was described in 2004 as a new human pathogen, acknowledged in a range of clinical infections typically associated to the respiratory tract. This report demonstrates that S. pseudopneumoniae has the potential to cause invasive infection. In blood cultures from three patients, growth of an atypical Streptococcus pneumoniae (non-capsular, non-serotypeable, optochin susceptible under ambient atmosphere and bile-intermediately soluble) was recovered. All three patients had a history of a haematological disease (myelodysplastic syndrome and multiple myeloma) and an apparent origin of infection related to the liver or bile duct. All isolates were genome sequenced and subsequently identified as S. pseudopneumoniae by multi-locus sequence analysis (MLSA). Multi-locus sequence typing (MLST) based on the S. pneumoniae scheme revealed unknown sequence types and the antibiogram and resistome revealed no antibiotic resistance.
Insights
Streptococcus pseudopneumoniae, a bacterium linked to respiratory infections, can cause invasive bloodstream infections. This study identified it in three patients with hematological diseases, originating from the liver or bile duct.
Area of Science:
- Microbiology
- Infectious Diseases
- Genomics
Background:
- Streptococcus pseudopneumoniae, identified in 2004, is recognized as a human pathogen.
- It is typically associated with respiratory tract infections.
Observation:
- This report details three cases of invasive infection caused by S. pseudopneumoniae.
- Atypical Streptococcus pneumoniae isolates were recovered from blood cultures of patients with hematological conditions.
- Infection origin was linked to the liver or bile duct in these patients.
Findings:
- Genome sequencing and multi-locus sequence analysis (MLSA) confirmed the isolates as S. pseudopneumoniae.
- Multi-locus sequence typing (MLST) identified novel sequence types.
- The isolates exhibited no antibiotic resistance.
Implications:
- This study highlights the potential of S. pseudopneumoniae to cause invasive infections beyond the respiratory tract.
- The findings are significant for understanding the pathogenicity of S. pseudopneumoniae in immunocompromised individuals.
- Further research into S. pseudopneumoniae pathogenesis and clinical management is warranted.
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