Abstract
Vancomycin-resistant Streptococcus salivarius-like bacteria were isolated from the blood and gastrostomy tube of a 6-month-old child during vancomycin therapy for Staphylococcus epidermidis central venous catheter-associated bacteremia. The isolates produced D-(-)-lactate and ethanol from glucose, hydrolyzed esculin, and produced no ammonia from arginine, thus fulfilling the major criteria as Leuconostoc spp. The enzymatic profile of the bacteria suggested that they were not lactobacilli or streptococci. Resistance to vancomycin and penicillin tolerance were noted. The formula fed through the gastrostomy tube was suspected as the vehicle that transmitted the organism to the patient. Penicillin and tobramycin therapy was used successfully.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baker C. N., Thornsberry C. Antimicrobial susceptibility of Streptococcus mutans isolated from patients with endocarditis. Antimicrob Agents Chemother. 1974 Mar;5(3):268–271. doi: 10.1128/aac.5.3.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bridge P. D., Sneath P. H. Numerical taxonomy of Streptococcus. J Gen Microbiol. 1983 Mar;129(3):565–597. doi: 10.1099/00221287-129-3-565. [DOI] [PubMed] [Google Scholar]
- Buu-Hoï A., Branger C., Acar J. F. Vancomycin-resistant streptococci or Leuconostoc sp. Antimicrob Agents Chemother. 1985 Sep;28(3):458–460. doi: 10.1128/aac.28.3.458. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coovadia Y. M., Solwa Z., van den Ende J. Meningitis caused by vancomycin-resistant Leuconostoc sp. J Clin Microbiol. 1987 Sep;25(9):1784–1785. doi: 10.1128/jcm.25.9.1784-1785.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ERICKSON R. J., MORALES D. R. Clinical use of lactic dehydrogenase. N Engl J Med. 1961 Sep 7;265:478–contd. doi: 10.1056/NEJM196109072651006. [DOI] [PubMed] [Google Scholar]
- Niven C. F., Smiley K. L., Sherman J. M. The Hydrolysis of Arginine by Streptococci. J Bacteriol. 1942 Jun;43(6):651–660. doi: 10.1128/jb.43.6.651-660.1942. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Orberg P. K., Sandine W. E. Common occurrence of plasmid DNA and vancomycin resistance in Leuconostoc spp. Appl Environ Microbiol. 1984 Dec;48(6):1129–1133. doi: 10.1128/aem.48.6.1129-1133.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shlaes D. M., Marino J., Jacobs M. R. Infection caused by vancomycin-resistant Streptococcus sanguis II. Antimicrob Agents Chemother. 1984 Apr;25(4):527–528. doi: 10.1128/aac.25.4.527. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thornsberry C., Baker C. N., Facklam R. R. Antibiotic susceptibility of Streptococcus bovis and other group D streptococci causing endocarditis. Antimicrob Agents Chemother. 1974 Mar;5(3):228–233. doi: 10.1128/aac.5.3.228. [DOI] [PMC free article] [PubMed] [Google Scholar]