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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.
Abstract:
Streptococci group G is an important opportunistic pathogen and causes a wide variety of infections, including pharyngitis, skin and soft tissue infections, bacteremia, endocarditis, septic arthritis, intra-abdominal infections, meningitis, and streptococcal toxic shock-like syndrome. As a result, we discuss an interesting case of recurrent group G streptococcal bacteremia in a 68-year-old man presenting with altered mental status. We also discuss the risk factors, etiology, pathophysiology, diagnosis, and treatment of group G streptococcal bacteremia.
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.
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