Is Streptococcus bovis a urinary pathogen?
The Streptococcus bovis group (SBG) comprises several microorganisms associated with human infections. They have been associated with bacteremia, endocarditis, biliary tract infection, meningitis, and colorectal cancer, but their role as urinary pathogens is not well known. The objective of this inv...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 2015-04, Vol.34 (4), p.719-725 |
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| creator | Matesanz, M. Rubal, D. Iñiguez, I. Rabuñal, R. García-Garrote, F. Coira, A. García-País, M. J. Pita, J. Rodriguez-Macias, A. López-Álvarez, M. J. Alonso, M. P. Corredoira, J. |
| description | The
Streptococcus bovis
group (SBG) comprises several microorganisms associated with human infections. They have been associated with bacteremia, endocarditis, biliary tract infection, meningitis, and colorectal cancer, but their role as urinary pathogens is not well known. The objective of this investigation was to discover the incidence and clinical significance of the bacteriuria associated with this complex. A retrospective analysis of all adult patients with bacteriuria caused by SBG during the period 1995–2012 was carried out. During the study period, SBG was isolated in 153 adult patients, who had a mean age of 67 years, most of them being women (80 %). Most of our patients (65 %) had some underlying disease, with urologic disease being the most common (37 %), followed by diabetes mellitus (27 %) and neurologic disease (25 %). Among the 88 patients in whom we were able to correctly assess symptoms, 45 % had asymptomatic bacteriuria, 35 % had lower urinary tract infection, and 20 % had upper urinary tract infection. In 14 cases (9 %), SBG was also isolated in blood cultures. Most of the isolates of SBG (72 %) were
S. gallolyticus
subsp.
pasteurianus
. All isolates were susceptible to penicillin, 98 % to nitrofurantoin, and 77 % to fosfomycin. Although SBG bacteriuria is uncommon, it should not always be taken as a contaminant, mainly when
S. pasteurianus
is isolated, because it may cause urinary tract infections and, occasionally, sepsis, whereas when
S. gallolyticus
is isolated from urine, it may be a marker of underlying endocarditis and colorectal cancer. |
| doi_str_mv | 10.1007/s10096-014-2273-x |
| format | Article |
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Streptococcus bovis
group (SBG) comprises several microorganisms associated with human infections. They have been associated with bacteremia, endocarditis, biliary tract infection, meningitis, and colorectal cancer, but their role as urinary pathogens is not well known. The objective of this investigation was to discover the incidence and clinical significance of the bacteriuria associated with this complex. A retrospective analysis of all adult patients with bacteriuria caused by SBG during the period 1995–2012 was carried out. During the study period, SBG was isolated in 153 adult patients, who had a mean age of 67 years, most of them being women (80 %). Most of our patients (65 %) had some underlying disease, with urologic disease being the most common (37 %), followed by diabetes mellitus (27 %) and neurologic disease (25 %). Among the 88 patients in whom we were able to correctly assess symptoms, 45 % had asymptomatic bacteriuria, 35 % had lower urinary tract infection, and 20 % had upper urinary tract infection. In 14 cases (9 %), SBG was also isolated in blood cultures. Most of the isolates of SBG (72 %) were
S. gallolyticus
subsp.
pasteurianus
. All isolates were susceptible to penicillin, 98 % to nitrofurantoin, and 77 % to fosfomycin. Although SBG bacteriuria is uncommon, it should not always be taken as a contaminant, mainly when
S. pasteurianus
is isolated, because it may cause urinary tract infections and, occasionally, sepsis, whereas when
S. gallolyticus
is isolated from urine, it may be a marker of underlying endocarditis and colorectal cancer.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-014-2273-x</identifier><identifier>PMID: 25416160</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - pharmacology ; Asymptomatic ; Biomedical and Life Sciences ; Biomedicine ; Colorectal cancer ; Colorectal carcinoma ; Comorbidity ; Contaminants ; Diabetes ; Endocarditis ; Female ; Hospitals ; Humans ; Incidence ; Internal Medicine ; Male ; Medical Microbiology ; Meningitis ; Microbial Sensitivity Tests ; Microorganisms ; Middle Aged ; Nosocomial infections ; Pathogens ; Patients ; Primary care ; Retrospective Studies ; Sheep ; Streptococcal Infections - epidemiology ; Streptococcal Infections - microbiology ; Streptococcus bovis ; Streptococcus bovis - drug effects ; Streptococcus bovis - isolation & purification ; Urinary tract diseases ; Urinary tract infections ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - microbiology ; Urine ; Urogenital system ; Womens health ; Young Adult</subject><ispartof>European journal of clinical microbiology & infectious diseases, 2015-04, Vol.34 (4), p.719-725</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-5be5c6b69ae3f8b60c1e4af493ad4df5e617e5f098a30f50f1c461a96e0cef1a3</citedby><cites>FETCH-LOGICAL-c475t-5be5c6b69ae3f8b60c1e4af493ad4df5e617e5f098a30f50f1c461a96e0cef1a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10096-014-2273-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10096-014-2273-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25416160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matesanz, M.</creatorcontrib><creatorcontrib>Rubal, D.</creatorcontrib><creatorcontrib>Iñiguez, I.</creatorcontrib><creatorcontrib>Rabuñal, R.</creatorcontrib><creatorcontrib>García-Garrote, F.</creatorcontrib><creatorcontrib>Coira, A.</creatorcontrib><creatorcontrib>García-País, M. J.</creatorcontrib><creatorcontrib>Pita, J.</creatorcontrib><creatorcontrib>Rodriguez-Macias, A.</creatorcontrib><creatorcontrib>López-Álvarez, M. J.</creatorcontrib><creatorcontrib>Alonso, M. P.</creatorcontrib><creatorcontrib>Corredoira, J.</creatorcontrib><title>Is Streptococcus bovis a urinary pathogen?</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>The
Streptococcus bovis
group (SBG) comprises several microorganisms associated with human infections. They have been associated with bacteremia, endocarditis, biliary tract infection, meningitis, and colorectal cancer, but their role as urinary pathogens is not well known. The objective of this investigation was to discover the incidence and clinical significance of the bacteriuria associated with this complex. A retrospective analysis of all adult patients with bacteriuria caused by SBG during the period 1995–2012 was carried out. During the study period, SBG was isolated in 153 adult patients, who had a mean age of 67 years, most of them being women (80 %). Most of our patients (65 %) had some underlying disease, with urologic disease being the most common (37 %), followed by diabetes mellitus (27 %) and neurologic disease (25 %). Among the 88 patients in whom we were able to correctly assess symptoms, 45 % had asymptomatic bacteriuria, 35 % had lower urinary tract infection, and 20 % had upper urinary tract infection. In 14 cases (9 %), SBG was also isolated in blood cultures. Most of the isolates of SBG (72 %) were
S. gallolyticus
subsp.
pasteurianus
. All isolates were susceptible to penicillin, 98 % to nitrofurantoin, and 77 % to fosfomycin. Although SBG bacteriuria is uncommon, it should not always be taken as a contaminant, mainly when
S. pasteurianus
is isolated, because it may cause urinary tract infections and, occasionally, sepsis, whereas when
S. gallolyticus
is isolated from urine, it may be a marker of underlying endocarditis and colorectal cancer.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Asymptomatic</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Comorbidity</subject><subject>Contaminants</subject><subject>Diabetes</subject><subject>Endocarditis</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Meningitis</subject><subject>Microbial Sensitivity Tests</subject><subject>Microorganisms</subject><subject>Middle Aged</subject><subject>Nosocomial infections</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Primary care</subject><subject>Retrospective Studies</subject><subject>Sheep</subject><subject>Streptococcal Infections - epidemiology</subject><subject>Streptococcal Infections - microbiology</subject><subject>Streptococcus bovis</subject><subject>Streptococcus bovis - drug effects</subject><subject>Streptococcus bovis - isolation & purification</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Urine</subject><subject>Urogenital system</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkE1LAzEURYMotlZ_gBsZcCNCNJl8zaxEih8FwYW6Dpn0pU5pJzWZkfrvTZkqIoibvEXOvY93EDqm5IISoi5jekuJCeU4zxXD6x00pJwJzJliu2hISsZxqXI2QAcxzknKFErto0EuOJVUkiE6n8TsqQ2war311nYxq_x7HTOTdaFuTPjIVqZ99TNorg7RnjOLCEfbOUIvtzfP43v88Hg3GV8_YMuVaLGoQFhZydIAc0UliaXAjeMlM1M-dQIkVSAcKQvDiBPEUcslNaUEYsFRw0borO9dBf_WQWz1so4WFgvTgO-iprIgnEuVrvsflYLmOWc0oae_0LnvQpMO2VCcJ5OcJIr2lA0-xgBOr0K9TBo0JXrjXPfOdXKuN871OmVOts1dtYTpd-JLcgLyHojpq5lB-LH6z9ZPZouKug</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Matesanz, M.</creator><creator>Rubal, D.</creator><creator>Iñiguez, I.</creator><creator>Rabuñal, R.</creator><creator>García-Garrote, F.</creator><creator>Coira, A.</creator><creator>García-País, M. J.</creator><creator>Pita, J.</creator><creator>Rodriguez-Macias, A.</creator><creator>López-Álvarez, M. J.</creator><creator>Alonso, M. 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J. ; Pita, J. ; Rodriguez-Macias, A. ; López-Álvarez, M. J. ; Alonso, M. 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J.</au><au>Pita, J.</au><au>Rodriguez-Macias, A.</au><au>López-Álvarez, M. J.</au><au>Alonso, M. P.</au><au>Corredoira, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Streptococcus bovis a urinary pathogen?</atitle><jtitle>European journal of clinical microbiology & infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>34</volume><issue>4</issue><spage>719</spage><epage>725</epage><pages>719-725</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>The
Streptococcus bovis
group (SBG) comprises several microorganisms associated with human infections. They have been associated with bacteremia, endocarditis, biliary tract infection, meningitis, and colorectal cancer, but their role as urinary pathogens is not well known. The objective of this investigation was to discover the incidence and clinical significance of the bacteriuria associated with this complex. A retrospective analysis of all adult patients with bacteriuria caused by SBG during the period 1995–2012 was carried out. During the study period, SBG was isolated in 153 adult patients, who had a mean age of 67 years, most of them being women (80 %). Most of our patients (65 %) had some underlying disease, with urologic disease being the most common (37 %), followed by diabetes mellitus (27 %) and neurologic disease (25 %). Among the 88 patients in whom we were able to correctly assess symptoms, 45 % had asymptomatic bacteriuria, 35 % had lower urinary tract infection, and 20 % had upper urinary tract infection. In 14 cases (9 %), SBG was also isolated in blood cultures. Most of the isolates of SBG (72 %) were
S. gallolyticus
subsp.
pasteurianus
. All isolates were susceptible to penicillin, 98 % to nitrofurantoin, and 77 % to fosfomycin. Although SBG bacteriuria is uncommon, it should not always be taken as a contaminant, mainly when
S. pasteurianus
is isolated, because it may cause urinary tract infections and, occasionally, sepsis, whereas when
S. gallolyticus
is isolated from urine, it may be a marker of underlying endocarditis and colorectal cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25416160</pmid><doi>10.1007/s10096-014-2273-x</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0934-9723 |
| ispartof | European journal of clinical microbiology & infectious diseases, 2015-04, Vol.34 (4), p.719-725 |
| issn | 0934-9723 1435-4373 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Aged, 80 and over Anti-Bacterial Agents - pharmacology Asymptomatic Biomedical and Life Sciences Biomedicine Colorectal cancer Colorectal carcinoma Comorbidity Contaminants Diabetes Endocarditis Female Hospitals Humans Incidence Internal Medicine Male Medical Microbiology Meningitis Microbial Sensitivity Tests Microorganisms Middle Aged Nosocomial infections Pathogens Patients Primary care Retrospective Studies Sheep Streptococcal Infections - epidemiology Streptococcal Infections - microbiology Streptococcus bovis Streptococcus bovis - drug effects Streptococcus bovis - isolation & purification Urinary tract diseases Urinary tract infections Urinary Tract Infections - epidemiology Urinary Tract Infections - microbiology Urine Urogenital system Womens health Young Adult |
| title | Is Streptococcus bovis a urinary pathogen? |
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