Skip to main content
Log in

Aerococcus bacteremia associated with granulocytopenia

  • Case Report
  • Published:
European Journal of Clinical Microbiology Aims and scope Submit manuscript

Abstract

Two cases of bacteremic infection due to aerococci in granulocytopenic patients with acute leukemia and oral mucositis are described. Strains isolated from blood cultures of both patients were resistant to the antibiotics given orally for prophylaxis. One patient died in septic shock; surveillance cultures from oral washings in the other repeatedly showed high concentrations of aerococci. Aerococci were also isolated from surveillance cultures taken from 5 of 17 other patients with acute leukemia; however, their viable counts were lower than in the surviving patient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Williams, R. E. O., Hirch, A., Cowan, S. T.: Aerococcus, a new bacterial genus. Journal of General Microbiology 1953, 8: 475–480.

    PubMed  Google Scholar 

  2. Krieger, D., Vanek, E., Strehle, R.: Influence of total and selective decontamination on the aerobic and anaerobic gastrointestinal flora in patients with acute leukaemia. In: Sasaki, S., Ozawa, A., Hashimoto, K. (ed.): Recent advances in germfree research. Tokai University Press, Tokyo, 1981, p. 715–718.

    Google Scholar 

  3. Deibel, R. H., Niven, C. F.: Comparative study ofGaffkya homari, Aerococcus viridans, tetrad-forming cocci from meat curing brines, and the genusPediococcus. Journal of Bacteriology 1960, 79: 175–180.

    PubMed  Google Scholar 

  4. Kerbaugh, M. A., Evans, J. B.:Aerococcus viridans in the hospital environment. Applied Microbiology 1968, 16: 519–523.

    PubMed  Google Scholar 

  5. Colman, G.: Acrococcus-like organisms isolated from human infections. Journal of Clinical Pathology 1967, 20: 294–297.

    PubMed  Google Scholar 

  6. Janosek, J., Eckert, J., Hudac, A.:Aerococcus viridans as a causative agent of infectious endocarditis. Journal of Hygiene, Epidemiology, Microbiology and Immunology 1980, 24: 92–96.

    Google Scholar 

  7. Pien, F. D., Wilson, W. R., Kunz, K., Washington II, J. A.:Aerococcus viridans endocarditis. Mayo Clinic Proceedings 1984, 59: 47–48.

    PubMed  Google Scholar 

  8. Nathavitharana, K. A., Arseculeratne, S. N., Aponso, H. A., Vijeratnam, R., Jayasena, L., Navaratnam, C.: Acute meningitis in early childhood caused byAerococcus viridans. British Medical Journal 1983, 286: 1248.

    PubMed  Google Scholar 

  9. Brauer, C., Monteil, H.:Aerococcus viridans, bactérie opportuniste en milieu hospitalier. Médecine et Maladies Infectieuses 1983, 13: 283–286.

    Google Scholar 

  10. Taylor, P. W., Trueblood, M. C.: Septic arthritis due toAerococcus viridans. Journal of Rheumatology 1985, 12: 1004–1005.

    PubMed  Google Scholar 

  11. Parker, M. T., Ball, L. C.: Streptococci and aerococci associated with systemic infection in man. Journal of Medical Microbiology 1976, 9: 275–302.

    PubMed  Google Scholar 

  12. Cohen, J., Donnelly, J. P., Worsley, A. M., Catovsky, D., Goldman, J. M., Galton, D. A. G.: Septicemia caused by viridans streptococci in neutropenic patients with leukaemia. Lancet 1983, ii: 1452–1454.

    Google Scholar 

  13. Brown, A. E.: Neutropenia, fever and infection. American Journal of Medicine 1984, 76: 421–428.

    PubMed  Google Scholar 

  14. Winston, D. J., Ho, W. G., Nakao, S. L., Gale, R. G., Champlin, R. E.: Norfloxacin versus vancomycin/ polymyxin for prevention of infections in granulocytopenic patients. American Journal of Medicine 1986, 80:884–890.

    PubMed  Google Scholar 

  15. Henslee, J., Bostrom, B., Weisdorf, D., Ramsay, N., McGlave, P., Kersey, J.: Streptococcal sepsis in bone marrow transplant patients. Lancet 1984, ii: 393.

    Google Scholar 

  16. Kern, W., Kurrle, E., Vanek, E.: High risk of streptococcal septicemia after high dose cytosine arabinoside treatment for acute myelogenous leukemia. Klinische Wochenschrift 1987, 65: 773–780.

    PubMed  Google Scholar 

  17. Ognibene, F. P., Martin, S. E., Parker, M. M., Schlesinger, T., Roach, P., Burch, C., Shelhamer, J. H., Parillo, J. E.: Adult respiratory distress syndrome in patients with severe neutropenia. New England Journal of Medicine 1986, 315: 547–553.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kern, W., Vanek, E. Aerococcus bacteremia associated with granulocytopenia. Eur. J, Clin. Microbiol. 6, 670–673 (1987). https://doi.org/10.1007/BF02013068

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02013068

Keywords

Navigation