TABLE 1.
Sources and clinical significance of four strains of a bacillary Neisseria sp.
| Feature(s) | Strain
|
|||
|---|---|---|---|---|
| MDA2833 | MDA0990 | MDA1552 | HUMC1166 | |
| Isolation source, yr, location | Submandibular wound, 2003, Houston, Tex. | Sputum, 2002, Houston, Tex. | Sputa (4 days apart), 2004, Houston, Tex. | Lung abscess, 2004; New Jersey |
| Patient age (yr), sex | 53, male | 66, female | 69, female | 62, male |
| No. of colonies | Few | Many | Many | Many |
| Coisolate(s) | Non-group A β-streptococcus, Capnocytophaga sp., Veillonella sp., and normal flora | Few Klebsiella pneumoniae isolates, few Candida albicans isolates, and normal flora | Few yeast | Enterococcus faecium |
| Significance | Contributory to wound infection | Contributory to possible bronchitis | Probable cause of bronchitis | Cocause of abscess |
| Underlying condition(s) | Right mandibulectomy for carcinoma | Brain lymphoma; bacteremia treated with gentamicin and nafcillin | Lung cancer lobectomy; pneumonia in other lung treated with vancomycin | Lymphoma |
| Treatment | Surgical drainage; amoxicillin/clavulanate, clindamycin | Gentamicin and nafcillin | Aztreonam, ciprofloxacin, and vancomycin | Surgical resection; ceftriaxone and piperacillin/tazobactam |
| Outcome | Recovered | Recovered | Recovered | Recovered |