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Streptococcus milleri causing infection in man.

S D Miller, A C Mauff, H J Koornhof

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |April 30, 1983
    PubMed
    Summary
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    Streptococcus milleri is a common cause of pyogenic infections, often presenting as localized abscesses. Bloodstream infections indicate an occult abscess, with penicillin or erythromycin being the preferred treatments.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Clinical Bacteriology

    Background:

    • Streptococcus milleri group bacteria are increasingly recognized in clinical settings.
    • Understanding their microbiological and morphological characteristics is crucial for diagnosis and treatment.

    Purpose of the Study:

    • To characterize the microbiological and morphological features of Streptococcus milleri strains.
    • To identify key features that typify the species.
    • To understand the clinical significance and common manifestations of Strept. milleri infections.

    Main Methods:

    • Isolation and characterization of 151 strains of Streptococcus milleri.
    • Routine bacteriological investigations.
    • Analysis of clinical data associated with isolated strains.

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    Main Results:

    • Identified constant microbiological and morphological features despite strain heterogeneity.
    • Strept. milleri is a major cause of pyogenic infections with localized pus collections across organ systems.
    • Bacteraemia frequently indicated the presence of an occult abscess; endocarditis was uncommon.

    Conclusions:

    • Penicillins and erythromycin are the recommended treatments for Strept. milleri infections.
    • Early identification and appropriate antimicrobial therapy are essential for managing Strept. milleri-associated diseases.
    • Bacteraemia serves as a critical marker for underlying abscesses.