Recurrent group G Streptococcus bacteremia: A case report and literature review

Haider Ghazanfar1, Zaheer Qureshi1, Harika Kalangi1

  • 1BronxCare Health System, Internal Medicine 1650 Selwyn Avenue Bronx New York USA.

Clinical Case Reports
|August 12, 2022
PubMed

Insights

Group G Streptococcus causes various infections. This case highlights recurrent bacteremia in an elderly man, emphasizing the need to understand risk factors and treatment for this opportunistic pathogen.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Clinical Medicine

Background:

  • Group G Streptococcus (GGS) is a significant opportunistic pathogen.
  • GGS infections range from pharyngitis to severe conditions like toxic shock syndrome.
  • Bacteremia caused by GGS requires careful management.

Observation:

  • A 68-year-old male presented with altered mental status.
  • The patient experienced recurrent episodes of Group G streptococcal bacteremia.
  • This case underscores the potential for persistent or recurring GGS bloodstream infections.

Findings:

  • Recurrent GGS bacteremia can manifest with non-specific symptoms like altered mental status.
  • Understanding the specific risk factors and hostpathogen interactions is crucial for managing recurrent GGS bacteremia.
  • Comprehensive diagnostic and therapeutic strategies are essential for successful treatment.

Implications:

  • This case emphasizes the importance of considering GGS in recurrent bacteremia, especially in elderly patients.
  • Further research into GGS pathophysiology and host susceptibility may improve treatment outcomes.
  • Clinicians should be aware of the diverse clinical presentations and potential for recurrence of GGS infections.

Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
34
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
29
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
36
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
14
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
23
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
29