PMID: 109241May 1, 1979

Bacterial endocarditis due to penicillin-resistant Streptococcus viridans

Clinical Pediatrics
V P McCarthyB W Ramsey

Abstract

Bacterial endocarditis remains a formidable diagnostic and therapeutic problem for clinicians. Streptococcus viridans still accounts for 45 to 50 per cent of all cases and between 5 to 10 per cent of all clinical isolates of Streptococcus viridans from patients with bacterial endocarditis may be relatively resistant to penicillin. The case of a 9-year-old child with Tetralogy of Fallot and a Waterston shunt who subsequently developed bacterial endocarditis due to penicillin-resistant Streptococcus viridans following failure of oral penicillin dental prophylaxis is presented. In the face of penicillin resistance, additional considerations for workup, including microbiological assays for antimicrobial synergism become necessary in the selection of a therapeutic regimen.

References

Mar 1, 1975·Antimicrobial Agents and Chemotherapy·R J SnyderJ A Washington
Jul 21, 1975·JAMA : the Journal of the American Medical Association·L Weinstein
Dec 27, 1969·Lancet·D B Drucker, M Jolly
Mar 1, 1973·The Journal of Clinical Investigation·D T Durack, R G Petersdorf
May 1, 1974·The Journal of Infectious Diseases·M A Sande, R G Irvin

Citations

Jan 12, 2005·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Edvaldo Antonio Ribeiro RosaRoberley Araújo Assad
Oct 1, 1996·Endodontics & Dental Traumatology·C L Lavelle

Related Concepts

Polychemotherapy
Bacterial Endocarditis
Gentacycol
Van-Pen-G
Penicillin Resistance
Vegacillin
Premedication
Streptococcal Infections
Streptococcus sanguis
Tooth Extraction

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