Table 1.
Characteristics of patients with gemella bacteraemia
Patients | ||
Characteristics | 1 | 2 |
Year of isolation | 1997 | 2000 |
Age/sex | 66/M | 41/F |
Underlying disease | Abdominal aortic aneurysm | Non-Hodgkin lymphoma, autologous bone marrow transplant |
Diagnosis | Infective endocarditis with septic thromboemboli | Primary bacteraemia during the neutropenic period |
Community/hospital acquired | Community | Hospital |
Number of positive blood cultures | 3 | 1 |
Monomicrobial/polymicrobial bacteraemia | Monomicrobial | Polymicrobial (with Streptococcus mitis and Escherichia coli) |
Positive cultures from other specimens | None | None |
Identification by 16S rRNA sequencing | Gemella morbillorum | Gemella haemolysans |
Antibiotic susceptibility | ||
Penicillin | Sensitive | Resistant |
Cefalothin | Sensitive | Sensitive |
Erythromycin | Sensitive | Resistant |
Clindamycin | Sensitive | Resistant |
Vancomycin | Sensitive | Sensitive |
Treatment | Penicillin G+netilmicin | Imipenem |
Outcome | Remission | Remission |