Eggerthella lenta: Difference between revisions
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Eggerthella lenta
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* Most commonly associated with GI tract illness or with infected sacral ulcer |
* Most commonly associated with GI tract illness or with infected sacral ulcer |
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* Can either be monomicrobial (including disseminated infection) or, more commonly, polymicrobial with an intraabominal infection |
* Can either be monomicrobial (including disseminated infection) or, more commonly, polymicrobial with an intraabominal infection |
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== Management == |
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* When found in blood culture without focus, consider CT abdomen to rule out intraabdominal pathology |
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* Almost always susceptible to [[amoxicillin-clavulanate acid]], [[cefoxitin]], [[metronidazole]], [[piperacillin-tazobactam]], [[ertapenem]], and [[meropenem]] |
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* Generally susceptible to [[clindamycin]] |
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* Occasionally susceptible to [[fluoroquinolones]] |
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* Not reliably susceptible to [[penicillin]] |
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== Further Reading == |
== Further Reading == |
Latest revision as of 18:21, 23 May 2021
Background
- Anaerobic, non-sporulating, Gram-positive bacillus
Clinical Manifestations
- Most commonly associated with GI tract illness or with infected sacral ulcer
- Can either be monomicrobial (including disseminated infection) or, more commonly, polymicrobial with an intraabominal infection
Management
- When found in blood culture without focus, consider CT abdomen to rule out intraabdominal pathology
- Almost always susceptible to amoxicillin-clavulanate acid, cefoxitin, metronidazole, piperacillin-tazobactam, ertapenem, and meropenem
- Generally susceptible to clindamycin
- Occasionally susceptible to fluoroquinolones
- Not reliably susceptible to penicillin
Further Reading
- Clinical and Microbiological Characteristics of Eggerthella lenta Bacteremia. Clin Micro Rev. 2015;53(2):626-635. doi: 10.1128/JCM.02926-14