Abstract
The most virulent pneumococcal serotype (type 3) has not to date been associated with multiple antimicrobial resistance. We report an unusual gastrointestinal presentation of fatal septicemia caused by a multiply resistant type 3 pneumococcus in a setting of increasing prevalence of multiple resistance, including resistance to erythromycin, clindamycin, and tetracycline.
MeSH terms
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Adolescent
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Clindamycin / pharmacology
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Drug Resistance, Microbial
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Erythromycin / pharmacology
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Gastroenteritis / microbiology*
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Humans
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Male
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Penicillins / pharmacology
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Pneumococcal Infections / microbiology*
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Sepsis / microbiology*
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Streptococcus pneumoniae / drug effects*
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Tetracycline / pharmacology
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Tetracycline Resistance
Substances
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Penicillins
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Clindamycin
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Erythromycin
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Tetracycline