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. 1988 Aug;26(8):1590–1591. doi: 10.1128/jcm.26.8.1590-1591.1988

Fatal infection caused by a multiply resistant type 3 pneumococcus.

J B Lawrenson 1, K P Klugman 1, J I Eidelman 1, A Wasas 1, S D Miller 1, J Lipman 1
PMCID: PMC266669  PMID: 3170717

Abstract

The most virulent pneumococcal serotype (type 3) has not to date been associated with multiple antimicrobial resistance. We report an unusual gastrointestinal presentation of fatal septicemia caused by a multiply resistant type 3 pneumococcus in a setting of increasing prevalence of multiple resistance, including resistance to erythromycin, clindamycin, and tetracycline.

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Selected References

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  1. Austrian R. Pneumococcal pneumonia. Diagnostic, epidemiologic, therapeutic and prophylactic considerations. Chest. 1986 Nov;90(5):738–743. doi: 10.1378/chest.90.5.738. [DOI] [PubMed] [Google Scholar]
  2. FRANCIS R. S., MAY J. R., SPICER C. C. INFLUENCE OF DAILY PENICILLIN, TETRACYCLINE, ERYTHROMYCIN, AND SULPHAMETHOXYPYRIDAZINE ON EXACERBATIONS OF BRONCHITIS. A REPORT TO THE RESEARCH COMMITTEE OF THE BRITISH TUBERCULOSIS ASSOCIATION. Br Med J. 1964 Mar 21;1(5385):728–732. doi: 10.1136/bmj.1.5385.728. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Feldman C., Kallenbach J. M., Miller S. D., Thorburn J. R., Koornhof H. J. Community-acquired pneumonia due to penicillin-resistant pneumococci. N Engl J Med. 1985 Sep 5;313(10):615–617. doi: 10.1056/NEJM198509053131006. [DOI] [PubMed] [Google Scholar]
  4. Hansman D. Serotypes in pneumococcal disease. A ten year study in Australia 1970 through 1979. Aust N Z J Med. 1983 Aug;13(4):359–364. doi: 10.1111/j.1445-5994.1983.tb04481.x. [DOI] [PubMed] [Google Scholar]
  5. Hansman D. Type distribution and antibiotic sensitivity of Diplococcus pneumoniae. A five-year study in Sydney. Med J Aust. 1974 Sep 21;2(12):436–440. doi: 10.5694/j.1326-5377.1974.tb70898.x. [DOI] [PubMed] [Google Scholar]
  6. Hook E. W., 3rd, Horton C. A., Schaberg D. R. Failure of intensive care unit support to influence mortality from pneumococcal bacteremia. JAMA. 1983 Feb 25;249(8):1055–1057. [PubMed] [Google Scholar]
  7. Jacobs M. R., Koornhof H. J., Robins-Browne R. M., Stevenson C. M., Vermaak Z. A., Freiman I., Miller G. B., Witcomb M. A., Isaäcson M., Ward J. I. Emergence of multiply resistant pneumococci. N Engl J Med. 1978 Oct 5;299(14):735–740. doi: 10.1056/NEJM197810052991402. [DOI] [PubMed] [Google Scholar]
  8. Kanarek D. J., Goldman H. I., Zwi S. Arterial oxygen tension values in normal adults at an altitude of 1763 metres. S Afr Med J. 1972 Mar 18;46(12):315–317. [PubMed] [Google Scholar]
  9. Klugman K. P., Koornhof H. J., Kuhnle V. Clinical and nasopharyngeal isolates of unusual multiply resistant pneumococci. Am J Dis Child. 1986 Nov;140(11):1186–1190. doi: 10.1001/archpedi.1986.02140250112045. [DOI] [PubMed] [Google Scholar]
  10. Klugman K. P., Koornhof H. J., Kuhnle V., Miller S. D., Ginsburg P. J., Mauff A. C. Meningitis and pneumonia due to novel multiply resistant pneumococci. Br Med J (Clin Res Ed) 1986 Mar 15;292(6522):730–730. doi: 10.1136/bmj.292.6522.730. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Klugman K. P., Koornhof H. Bacteremic pneumonia caused by penicillin-resistant pneumococci. N Engl J Med. 1988 Jan 14;318(2):123–124. doi: 10.1056/NEJM198801143180218. [DOI] [PubMed] [Google Scholar]
  12. Lockley M. R., Wise R. Pneumococcal infections. Br Med J (Clin Res Ed) 1984 Apr 21;288(6425):1179–1180. doi: 10.1136/bmj.288.6425.1179. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Mufson M. A., Kruss D. M., Wasil R. E., Metzger W. I. Capsular types and outcome of bacteremic pneumococcal disease in the antibiotic era. Arch Intern Med. 1974 Sep;134(3):505–510. [PubMed] [Google Scholar]
  14. Pallares R., Gudiol F., Liñares J., Ariza J., Rufi G., Murgui L., Dorca J., Viladrich P. F. Risk factors and response to antibiotic therapy in adults with bacteremic pneumonia caused by penicillin-resistant pneumococci. N Engl J Med. 1987 Jul 2;317(1):18–22. doi: 10.1056/NEJM198707023170104. [DOI] [PubMed] [Google Scholar]
  15. Robbins J. B., Austrian R., Lee C. J., Rastogi S. C., Schiffman G., Henrichsen J., Mäkelä P. H., Broome C. V., Facklam R. R., Tiesjema R. H. Considerations for formulating the second-generation pneumococcal capsular polysaccharide vaccine with emphasis on the cross-reactive types within groups. J Infect Dis. 1983 Dec;148(6):1136–1159. doi: 10.1093/infdis/148.6.1136. [DOI] [PubMed] [Google Scholar]
  16. Woodhead M. A., Macfarlane J. T., McCracken J. S., Rose D. H., Finch R. G. Prospective study of the aetiology and outcome of pneumonia in the community. Lancet. 1987 Mar 21;1(8534):671–674. doi: 10.1016/s0140-6736(87)90430-2. [DOI] [PubMed] [Google Scholar]
  17. del Rio C., McGowan J. E., Jr Severe diarrhea in pneumococcal bacteremia: croupous colitis. JAMA. 1987 Jan 9;257(2):189–189. doi: 10.1001/jama.257.2.189b. [DOI] [PubMed] [Google Scholar]

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