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Gemella morbillorum as a Cause of Septic Shock
Sanjeev Vasishtha, Henry D. Isenberg and Sunil K. Sood
Clinical Infectious Diseases
Vol. 22, No. 6 (Jun., 1996), pp. 1084-1086
Published by: Oxford University Press
Stable URL: http://www.jstor.org/stable/4459495
Page Count: 3
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The gram-positive bacterium Gemella morbillorum has been recovered from patients with endocarditis but has rarely been associated with acute fulminant infections. We describe two children with a rapid onset of septic shock, which was fatal in one, following infection with this organism. G. morbillorum is a commensal organism of the upper respiratory tract; it gained access to the bloodstreams in these patients, and bacteremia occurred. A clinical drawback is that the initial colonial morphology of this organism leads to presumptive identification as a viridans streptococcus, an organism not commonly associated with septic shock syndrome. Resistance of G. morbillorum to penicillin appears to be common; therefore, initial empirical combination therapy (a β-lactam agent and an aminoglycoside) or vancomycin treatment should be considered.
Clinical Infectious Diseases © 1996 Oxford University Press