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Peptococcaceae bacteremia.

M S Topiel, G L Simon

    Diagnostic Microbiology and Infectious Disease
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Bacteremia caused by Peptococcaceae is rare, but young obstetrical patients are at highest risk, particularly with postpartum infections. Prompt antibiotic treatment led to excellent patient outcomes with no lasting complications.

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    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Obstetrics & Gynecology

    Background:

    • Bacteremia with Peptococcaceae is an uncommon clinical presentation.
    • Anaerobic gram-positive cocci infections are often associated with specific patient populations.

    Purpose of the Study:

    • To investigate the clinical manifestations and risk factors of bacteremia caused by Peptococcaceae.
    • To identify the specific species of Peptococcaceae involved in these infections.
    • To evaluate the treatment outcomes for patients with Peptococcaceae bacteremia.

    Main Methods:

    • A retrospective review of 12 patients with bacteremic infections due to anaerobic gram-positive cocci over a 20-month period.
    • Bacteriologic identification of causative microorganisms.

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  • Review of patient demographics, clinical presentation, and treatment regimens.

    • Main Results:

    • Obstetrical patients during the peripartum period were identified as the highest-risk group, accounting for eight of the 12 patients.
    • Common infections included postpartum endometritis and chorioamnionitis.
    • Other infections observed were pylephlebitis, liver microabscesses, ascending cholangitis, thoracic empyema, and necrotizing soft-tissue infection.
    • The most frequently identified species were Peptostreptococcus micros and Peptostreptococcus asaccharolyticus.
    • Eleven patients received appropriate antibiotic therapy.

    Conclusions:

    • Peripartum obstetrical patients are at significant risk for Peptococcaceae bacteremia.
    • Prompt and appropriate antibiotic therapy is effective in treating these infections.
    • Patients generally experience good outcomes with no major sequelae.