Granulicatella adiacens bacteremia in an elderly trauma patient

Surg Infect (Larchmt). 2011 Jun;12(3):251-3. doi: 10.1089/sur.2010.059. Epub 2011 Apr 27.

Abstract

Background: Granulicatella adiacens is a normal commensal of human mucosal surfaces, inhabiting the oral cavity and urogenital and gastrointestinal tracts and only rarely causing disease. These gram-positive cocci can be difficult to identify.

Case report: We report a first case of bacteremia caused by Granulicatella adiacens in an elderly female trauma victim. The infection was diagnosed accurately, and the patient was treated successfully.

Conclusion: Granulicatella adiacens may be a more important pathogen than thus far recognized because of a lack of adequate diagnostic resources. Standards for sensitivity testing are needed urgently.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Bacteremia / diagnosis*
  • Bacteremia / drug therapy
  • Bacteremia / microbiology*
  • Carnobacteriaceae / isolation & purification*
  • Cefazolin / administration & dosage
  • Female
  • Gram-Positive Bacterial Infections / diagnosis*
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology*
  • Humans
  • Treatment Outcome
  • Wounds and Injuries / complications*

Substances

  • Anti-Bacterial Agents
  • Cefazolin