Bacteremia, without Endocarditis, due to Streptococcus gallolyticus Subspecies gallolyticus in an Infant with Tetralogy of Fallot

Abstract

Streptococcus gallolyticus subspecies gallolyticus (SGSG) is a rare cause of bacteremia in infants. We are reporting a case of bacteremia without endocarditis in a patient affected by tetralogy of Fallot. In the suspect of cerebral involvement, a brain image study might be useful to rule out brain abscesses or embolism. When antibiotic treatment is promptly started, prognosis is good, even with only 2 weeks of effective antibiotic therapy.

Keywords

sepsis - S. bovis - infant

• References

• 1 Dekker JP, Lau AF. An update on the streptococcus bovis group: classification, identification, and disease associations. J Clin Microbiol 2016; 54 (07) 1694-1699
• 2 Lazarovitch T, Shango M, Levine M. , et al. The relationship between the new taxonomy of Streptococcus bovis and its clonality to colon cancer, endocarditis, and biliary disease. Infection 2013; 41 (02) 329-337
• 3 Hede SV. Diagnosis and treatment of childhood meningitis caused by Streptococcus bovis group. Curr Infect Dis Rep 2016; 18 (04) 11
• 4 Matsubara K, Takegawa H, Sakizono K, Nomoto R, Yamamoto G, Osawa R. Transient bacteremia due to Streptococcus gallolyticus subsp. pasteurianus in a 3-year-old infant. J Infect Dis 2015; 68 (03) 251-253
• 5 Fikar CR, Levy J. Streptococcus bovis meningitis in a neonate. Am J Dis Child 1979; 133 (11) 1149-1150
• 6 Takahashi Y, Ishiwada N, Tanaka J. , et al. Streptococcus gallolyticus subsp. pasteurianus meningitis in an infant. Pediatr Int 2014; 56 (02) 282-285
• 7 Beneteau A, Levy C, Foucaud P. , et al. Childhood meningitis caused by Streptococcus bovis group: clinical and biologic data during a 12-year period in France. Pediatr Infect Dis J 2015; 34 (02) 136-139
• 8 Kennedy GJ, Kavanagh KL, Kashimawo LA, Cripe PJ, Steele RW. An unlikely cause of neonatal sepsis. Clin Pediatr (Phila) 2015; 54 (10) 1017-1020
• 9 Lumbiganon P, Chaikitpinyo A. Antibiotics for brain abscesses in people with cyanotic congenital heart disease. Cochrane Database Syst Rev 2013; (03) CD004469
• 10 N'goran YN, Tano M, Traore F. , et al. Brain abscess complicating congenital heart disease: report of 7 cases at the Abidjan Heart Institute [Article in French]. Pan Afr Med J 2015; 22: 109