Abstract:
Streptococcus gallolyticus subspecies pasteurianus is a subtype of Streptococcus bovis (S. bovis) that has become increasingly recognized as a sepsis-causing pathogen in neonates. It is well documented that S. bovis species have a predilection to both cardiac and gastrointestinal tissue, and in adult populations, isolating these organisms in the bloodstream often triggers further evaluation for co-morbid complications such as colon cancer or endocarditis. However, no such guidance currently exists in neonatal literature. We present a case of a preterm infant with S. gallolyticus subsp. pasteurianus bacteremia presenting as necrotizing enterocolitis (NEC) not previously described in the literature. Furthermore, through a complete diagnostic evaluation, including an echocardiogram, our patient was found to have the rare complication of endocarditis.
摘要:
溶胆链球菌亚种巴氏菌是牛链球菌的一种亚型(S.bovis)已越来越被认为是新生儿中引起败血症的病原体。有据可查的是,牛链球菌对心脏和胃肠道组织都有偏爱,在成年人群中,在血液中分离这些生物通常会触发对结肠癌或心内膜炎等合并症的进一步评估.然而,目前在新生儿文献中没有这样的指导。我们介绍了一例患有胆溶链球菌亚种的早产儿。巴氏菌血症表现为坏死性小肠结肠炎(NEC),以前未在文献中描述。此外,通过完整的诊断评估,包括超声心动图,我们的病人被发现有心内膜炎的罕见并发症。