The Streptococcus milleri group in chronic obstructive pulmonary disease
Jazyk angličtina Země Česko Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
27132809
DOI
10.5507/bp.2016.017
Knihovny.cz E-zdroje
- Klíčová slova
- Streptococcus anginosus, Streptococcus constellatus, Streptococcus intermedius, Streptococcus milleri group, chronic obstructive pulmonary disease, cystic fibrosis,
- MeSH
- akutní nemoc MeSH
- chronická obstrukční plicní nemoc MeSH
- cystická fibróza mikrobiologie MeSH
- dospělí MeSH
- infekce dýchací soustavy mikrobiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- oportunní infekce mikrobiologie MeSH
- senioři MeSH
- skupina Streptococcus milleri izolace a purifikace MeSH
- sputum mikrobiologie MeSH
- streptokokové infekce mikrobiologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
BACKGROUND AND AIMS: S. anginosus, constellatus and intermedius, also known as the Streptococcus milleri group (SMG) are three streptococcal species more frequently detected in cases of invasive disease, abscesses and empyema in particular. Recent research suggests they play a role in exacerbations of cystic fibrosis (CF). Owing to poor recovery on standard culture media and difficult differentiation from non-pathogenic streptococci, SMG may be underdiagnosed in routine settings. We aimed to establish the incidence of SMG in chronic obstructive pulmonary disease (COPD) patients compared to CF patients and to examine possible links of SMG to exacerbations that plays a key role in progression of COPD. METHODS: Altogether, 90 respiratory tract samples of patients suffering from CF or COPD were examined during the period from July 2012 to December 2013. Semi-selective McKay agar was used for primary cultivation of SMG and MALDI TOF MS was used for species identification that was confirmed by biochemical profiling and specific PCR. RESULTS: We confirmed the presence of SMG in CF (17.6% incidence in adult patients) and newly established its presence in COPD (10.3% incidence). In COPD, SMG was detected in 4 cases of acute exacerbations, where no other bacterial pathogen was detected. In 3/4 cases, increased CRP level indicated bacterial infection as a cause of the exacerbation and in all 3 cases, patients recovered during antibiotic treatment. CONCLUSIONS: Our data indicate SMG may act as opportunist pathogens able to cause exacerbations in COPD.
Department of Pediatrics University Hospital Olomouc Czech Republic
Department of Respiratory Medicine University Hospital Olomouc Czech Republic
State Veterinary Institute in Olomouc Jakoubka ze Stribra 1 Olomouc Czech Republic
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