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Bacteremia due to Enterococcus avium

R Patel1, M R Keating, F R Cockerill

  • 1Division of Infectious Diseases, Mayo Graduate School of Medicine, Mayo Clinic, Rochester, Minnesota 55902.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|December 1, 1993
PubMed
Summary
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Enterococcus avium, a rare human pathogen, was found to be clinically significant in bacteremia cases. Most infections were linked to gastrointestinal issues, suggesting this as a common source.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases

Background:

  • Enterococcus avium, previously known as 'group Q streptococcus,' is infrequently identified as a human pathogen.
  • This study aimed to clarify the clinical significance of E. avium in human infections.

Observation:

  • A review of patient records from 1986-1991 identified nine cases of E. avium bacteremia.
  • All identified isolates were considered clinically significant.
  • Gastrointestinal illnesses were present in five of the nine patients.

Findings:

  • Enterococcus avium bacteremia is often polymicrobial, frequently involving other gastrointestinal organisms.
  • The data suggest a gastrointestinal tract origin for most E. avium bacteremias.
  • Other clinical scenarios included intravenous catheter sepsis and factitious disorders.

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Implications:

  • Despite its rarity, Enterococcus avium can cause significant human infections.
  • E. avium bacteremia is associated with underlying gastrointestinal abnormalities, highlighting the need for source identification.