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Gemella species endocarditis in a child.
MedLine Citation:
PMID:  18159356     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Organisms of the genus Gemella can, on occasion, cause serious systemic illness. The present paper reports a successfully treated case of endocarditis in a 12-year-old girl with congenital heart disease caused by species of Gemella. The child presented with cough, fatigue and decreased appetite without fever. Echocardiogram demonstrated marked mitral insufficiency with flail posterior mitral valve leaflet, mitral valve vegetations, and an enlarged left atrium and ventricle. While being treated with vancomycin, the child initially had persistent bacteremia, which resolved after the addition of gentamycin; the course of therapy was completed with penicillin G and gentamycin once antimicrobial susceptibilities were available. Attempts to identify the species of Gemella were unsuccessful in the local laboratory, and at reference laboratories in Canada and the United States. The isolate is undergoing further evaluation to determine its taxonomic status.
Authors:
L K Purcell; J P Finley; R Chen; M Lovgren; S A Halperin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of infectious diseases = Journal canadien des maladies infectieuses     Volume:  12     ISSN:  1180-2332     ISO Abbreviation:  Can J Infect Dis     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2007-12-26     Completed Date:  2011-07-14     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  9425856     Medline TA:  Can J Infect Dis     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  317-20     Citation Subset:  -    
Affiliation:
Department of Pediatrics, Dalhousie University and the IWK Grace Health Centre, Halifax, Nova Scotia;
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