Streptococcus bacteremia: Difference between revisions
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Streptococcus bacteremia
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== Background == |
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* Among all patients with [[Streptococcus]] bacteremia, the prevalence of [[infective endocarditis]] is about 7%[[CiteRef::chamat-hedemand2020pr]] |
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{| class="wikitable" |
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!Species |
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!Risk of IE |
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!Number of BSIs |
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|- |
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|[[Streptococcus pneumoniae]] |
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|1.2% |
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|2,598 |
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|- |
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|[[Streptococcus dysgalactiae]] |
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|6.6% |
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|901 |
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|- |
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|[[Streptococcus pyogenes]] |
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|1.9% |
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|592 |
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|- |
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|[[Streptococcus agalactiae]] |
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|9.1% |
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|441 |
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|- |
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|[[Streptococcus anginosus group]] |
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|4.8% |
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|437 |
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|- |
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|[[Streptococcus mitis]] or [[Streptococcus oralis|oralis]] |
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|19.4% |
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|408 |
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|- |
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|[[Streptococcus gallolyticus]] |
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|30.7% |
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|225 |
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|- |
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|[[Streptococcus salivarius]] |
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|5.8% |
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|191 |
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|- |
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|[[Streptococcus sanguinis]] |
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|34.6% |
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|133 |
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|- |
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|[[Streptococcus parasanguinis]] |
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|10.3% |
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|107 |
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|- |
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|[[Streptococcus gordonii]] |
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|44.2% |
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|95 |
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|- |
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|[[Streptococcus constellatus]] |
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|<4% |
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|91 |
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|- |
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|[[Streptococcus mutans]] |
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|47.9% |
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|48 |
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|- |
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|[[Streptococcus thermophilus]] |
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|<4% |
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|45 |
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|- |
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|[[Granulicatella adiacens]] |
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|12.2% |
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|41 |
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|- |
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|[[Streptococcus intermedius]] |
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|0% |
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|40 |
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|- |
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|[[Streptococcus vestibularis]] |
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|low |
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|26 |
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|- |
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|[[Streptococcus lutetiensis]] |
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|low |
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|23 |
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|- |
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|[[Streptococcus infantarius]] |
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|low |
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|14 |
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|- |
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|[[Streptococcus equinus]] |
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|low |
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|12 |
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|- |
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|[[Streptococcus peroris]] |
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|0 |
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|10 |
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|- |
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|[[Streptococcu cristatus]] or [[Streptococcus sinensis|sinensis]] |
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|44% |
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|9 |
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|- |
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|[[Streptococcus massiliensis]] |
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|0 |
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|5 |
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|- |
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|[[Granulicatella elegans]] |
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|0 |
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|5 |
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|- |
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|[[Streptococcus pluranimalium]] |
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|0 |
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|<4 |
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|- |
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|[[Streptococcus equi]] |
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|0 |
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|<4 |
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|- |
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|[[Streptococcus sobrinus]] |
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|0 |
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|<4 |
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|- |
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|[[Streptococcus suis]] |
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|0 |
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|<4 |
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|- |
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|[[Streptococcus alactolyticus]] |
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|0 |
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|<4 |
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|} |
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== Investigations == |
== Investigations == |
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Revision as of 16:13, 12 March 2022
Background
- Among all patients with Streptococcus bacteremia, the prevalence of infective endocarditis is about 7%1
| Species | Risk of IE | Number of BSIs |
|---|---|---|
| Streptococcus pneumoniae | 1.2% | 2,598 |
| Streptococcus dysgalactiae | 6.6% | 901 |
| Streptococcus pyogenes | 1.9% | 592 |
| Streptococcus agalactiae | 9.1% | 441 |
| Streptococcus anginosus group | 4.8% | 437 |
| Streptococcus mitis or oralis | 19.4% | 408 |
| Streptococcus gallolyticus | 30.7% | 225 |
| Streptococcus salivarius | 5.8% | 191 |
| Streptococcus sanguinis | 34.6% | 133 |
| Streptococcus parasanguinis | 10.3% | 107 |
| Streptococcus gordonii | 44.2% | 95 |
| Streptococcus constellatus | <4% | 91 |
| Streptococcus mutans | 47.9% | 48 |
| Streptococcus thermophilus | <4% | 45 |
| Granulicatella adiacens | 12.2% | 41 |
| Streptococcus intermedius | 0% | 40 |
| Streptococcus vestibularis | low | 26 |
| Streptococcus lutetiensis | low | 23 |
| Streptococcus infantarius | low | 14 |
| Streptococcus equinus | low | 12 |
| Streptococcus peroris | 0 | 10 |
| Streptococcu cristatus or sinensis | 44% | 9 |
| Streptococcus massiliensis | 0 | 5 |
| Granulicatella elegans | 0 | 5 |
| Streptococcus pluranimalium | 0 | <4 |
| Streptococcus equi | 0 | <4 |
| Streptococcus sobrinus | 0 | <4 |
| Streptococcus suis | 0 | <4 |
| Streptococcus alactolyticus | 0 | <4 |
Investigations
- Consider using the HANDOC score to risk stratify for need for echocardiography
References
- ^ Sandra Chamat-Hedemand, Anders Dahl, Lauge Østergaard, Magnus Arpi, Emil Fosbøl, Jonas Boel, Louise Bruun Oestergaard, Trine K. Lauridsen, Gunnar Gislason, Christian Torp-Pedersen, Niels Eske Bruun. Prevalence of Infective Endocarditis in Streptococcal Bloodstream Infections Is Dependent on Streptococcal Species. Circulation. 2020;142(8):720-730. doi:10.1161/circulationaha.120.046723.
