[Actinomycotic brain abscess in immunocompetent patient]. / Absceso cerebral actinomicótico en paciente inmunocompetente.

BACKGROUND: The actinomyces is germ commonly found in the normal flora of the oral cavity and gastro-intestinal and uro-genital tracts. Involvement in other locations is a very uncommon event. OBJECTIVES: To describe a patient with an actinomicotyc brain abscess CLINICAL CASE: We report the case of a patient who suffered a seizure and decreased level of consciousness. Imaging tests revealed the presence of lesions both in the lung and in the brain. An urgent craniotomy was performed and the diagnosis of actinomicotyc abscess was obtained. CONCLUSION: We describe the differential characteristics of this type of infection, discussing the diagnostic process and management in detail.

Detection of Porphyromonas gingivalis and Streptococcus intermedius in chronic periodontitis patients by multiplex PCR.

A Multiplex PCR assay for the detection of Porphyromonas gingivalis and Streptococcus intermedius in chronic periodontitis is presented. A total of 180 samples from 65 adults with untreated periodontitis and 17 healthy volunteers were taken and processed in a simple boiling step. Cell lysates were used as DNA source for multiplex PCR assays. Primers were designed from 16S rRNA gene sequences from the GenBank-EMBL database showing specificity for target pathogens. This multiplex PCR system could detect 8.2 P gingivalis and S. intermedius cells. In untreated periodontitis patients, only 78.5% were positive for one or both bacteria; 37% were positive for P gingivalis only, 17% for S. intermedius and 24.5% for both. P. gingivalis was detected in 23.5% of healthy volunteers, while S. intermedius was not detected in the same patients. The distribution of these bacteria was related to the periodontal probing depth, while 95.23% of patients with pockets wih 6 to 7 mm deep were positive for either or both, only 70.45% of of them with 4 to 5 mm pockets were positive.

Detection of Porphyromonas gingivalis and Streptococcus intermedius in chronic periodontitis patients by multiplex PCR

Se muestra la utilización del ensayo de polimerasa en cadena (PCR) múltiplex para la detección de Porphyromonas gingivalis y Streptococcus intermedius en pacientes con periodontitis crónica. Se analizaron un total de 180 muestrasde 65 adultos con periodontitis no tratada y 17 voluntarios sanos, las células se procesaron inicialmente colocándolas a baño María durante 10 min. El lisado celular fue usado comofuente de ADN para los ensayos del PCR múltiplex. Los primers fueron diseñados a partir de secuencias génicas defracciones 16 rRNA obtenidas de la base de datos GenBank-EMBL y que mostraron especificidad para los patógenos mencionados. El sistema PCR múltiplex fue diseñado para identificar 8.2 células de P. gingivalis y S. intermedius. De los pacientes con periodontitis, sólo el 78.5 por ciento fueron positivos para una o ambas bacterias. En el 37 por ciento se identificó únicamente P. gingivalis, en el 17 por ciento S. intermedius y en un 24.5 por ciento ambos. P. gingivalis fue detectada en el 23.5 por ciento de los voluntarios sanos, mientras que, S. intermedius no se detectó en esegrupo de pacientes. La distribución de la identificación de estas bacterias está relacionada con la profundidad de las bolsas periodontales. Mientras que el 95.23 por ciento de los pacientes con bolsas de 6 a 7 mm fueron positivas para ambas bacterias, mientras que sólo el 70.45 por ciento de ellos fue positivo cuando las bolsas tenían de 4 a 5 mm de profundidad

Perfil de isolamento microbiano em cães com otite média e externa associadas / Profile of microorganisms isolated from dogs with associated media and extern otitis

Comparou-se o perfil de isolamento microbiano de amostras coletadas de cães com otite média (OM) e externa (OE) associadas. Sessenta e quatro cães com otite média e externa foram avaliados durante 10 meses. Amostras dos condutos auditivos externos foram coletadas com auxílio de swabs estéreis e aquelas do ouvido médio pela técnica cirúrgica da osteotomia da bula timpânica. Os microrganismos foram cultivados e identificados de acordo com os métodos previamente descritos, e a susceptibilidade a antimicrobianos avaliada pelo método de difusão em ágar estabelecido pelo National Committee for Clinical Laboratory Standards. Bactérias anaeróbias estritas não foram isoladas em qualquer amostra. Todas as amostras de OE mostraram crescimento bacteriano e/ou fúngico. Na OM, a positividade nas culturas foi de 48 por cento. Os microrganismos mais isolados na OE foram: Bacillus sp. (26,9 por cento), M. pachydermatis (22,2 por cento) e S. intermedius (21,7 por cento); na OM foram: S. intermedius (32,5 por cento), S. aureus subsp. aureus (22,5 por cento) e bacilos Gram-negativos não fermentadores (10,0 por cento). Observou-se alguma diferença no perfil de isolamento entre os quadros de OM e OE em 96,7 por cento dos animais. Verificou-se elevada resistência de cepas de S. intermedius à penicilina G, ampicilina, eritromicina, tetraciclina e clindamicina.

The isolation pattern of samples collected from dogs with both media (OM) and extern otitis (OE) was compared. Sixty-four dogs suffering from those conditions were studied over a 10-month period. Samples from the external ear were collected with sterile swabs while those from the middle ear were collected by osteotomy of the tympanic bulla. The microorganisms were cultured and identified according to methods previously described and to the susceptibility of antimicrobials according to the National Committee for Clinical Laboratory Standards agar diffusion test. Anaerobic bacteria were not isolated in any sample. All samples from OE showed bacterial and/or fungal growth. Concerning media otitis, this percentage was 48 percent. The most common microorganisms isolated from OE were Bacillus sp. (26.9 percent), M. pachydermatis (22.2 percent) and S. intermedius (21.7 percent) and those from OM were S. intermedius (32.5 percent), S. aureus subsp. aureus (22.5 percent) and non-fermentative Gram-negative rods (10.0 percent). Some difference was observed in the isolation pattern between media and extern otitis in 96.7 percent of the animals. High resistance rates of S. intermedius strains to penicillin G, ampicillin, erythromycin, tetracycline and clindamycin were found.

Perfil de isolamento microbiano em cães com otite média e externa associadas / Profile of microorganisms isolated from dogs with associated media and extern otitis

Comparou-se o perfil de isolamento microbiano de amostras coletadas de cães com otite média (OM) e externa (OE) associadas. Sessenta e quatro cães com otite média e externa foram avaliados durante 10 meses. Amostras dos condutos auditivos externos foram coletadas com auxílio de swabs estéreis e aquelas do ouvido médio pela técnica cirúrgica da osteotomia da bula timpânica. Os microrganismos foram cultivados e identificados de acordo com os métodos previamente descritos, e a susceptibilidade a antimicrobianos avaliada pelo método de difusão em ágar estabelecido pelo National Committee for Clinical Laboratory Standards. Bactérias anaeróbias estritas não foram isoladas em qualquer amostra. Todas as amostras de OE mostraram crescimento bacteriano e/ou fúngico. Na OM, a positividade nas culturas foi de 48%. Os microrganismos mais isolados na OE foram: Bacillus sp. (26,9%), M. pachydermatis (22,2%) e S. intermedius (21,7%); na OM foram: S. intermedius (32,5%), S. aureus subsp. aureus (22,5%) e bacilos Gram-negativos não fermentadores (10,0%). Observou-se alguma diferença no perfil de isolamento entre os quadros de OM e OE em 96,7% dos animais. Verificou-se elevada resistência de cepas de S. intermedius à penicilina G, ampicilina, eritromicina, tetraciclina e clindamicina.(AU)

The isolation pattern of samples collected from dogs with both media (OM) and extern otitis (OE) was compared. Sixty-four dogs suffering from those conditions were studied over a 10-month period. Samples from the external ear were collected with sterile swabs while those from the middle ear were collected by osteotomy of the tympanic bulla. The microorganisms were cultured and identified according to methods previously described and to the susceptibility of antimicrobials according to the National Committee for Clinical Laboratory Standards agar diffusion test. Anaerobic bacteria were not isolated in any sample. All samples from OE showed bacterial and/or fungal growth. Concerning media otitis, this percentage was 48%. The most common microorganisms isolated from OE were Bacillus sp. (26.9%), M. pachydermatis (22.2%) and S. intermedius (21.7%) and those from OM were S. intermedius (32.5%), S. aureus subsp. aureus (22.5%) and non-fermentative Gram-negative rods (10.0%). Some difference was observed in the isolation pattern between media and extern otitis in 96.7% of the animals. High resistance rates of S. intermedius strains to penicillin G, ampicillin, erythromycin, tetracycline and clindamycin were found.(AU)

Streptococcus intermedius liver abscesses and colon cancer: a case report / Abscesos hepáticos por Streptococcus intermedius y cáncer de colon: reporte de un caso

Certain species of bacteria are known to be associated with colorectal cancer. We report a case of adenocarcinoma of the colon with bacteraemia and liver abscesses due to Streptococcus intermedius. The isolation of this organism should prompt investigation for colorectal neoplasm, which may be present but asymptomatic, without metastases, and therefore at a curative stage.

Se sabe que ciertas especies de bacterias están asociadas con el cáncer colorectal. El presente trabajo reporta un caso de adenocarcinoma del colon acompañado de bacteriemia y abscesos hepáticos debidos a Streptococcus del grupo intermedius. El aislamiento de este organismo debe impulsar la investigación del neoplasma colorectal, el cual puede estar hallarse presente pero de forma asintomática, sin metástasis, y por consiguiente en una fase en que la cura es aún posible.

Adenoflegmón cervical por Streptococcus intermedius en una niña de 3 años: caso clínico / Cervical lymphadenitis due to Streptococcus intermedius in a 3 years-old girl: case report

Objetivo: Comunicar el caso de un adenoflegmón cervical por Streptococcus intermedius y caracterizar aspectos clínicos y microbiológicos de la infección por esta bacteria. Caso: Niña de 3 años, con historia de fiebre y aumento de volumen cervical anterior y supraclavicular izquierdo de 5 días de evolución, diagnosticándose adenoflegmón cervical; la punción revela Streptococcus intermedius. Se trató con cloxacilina y luego penicilina EV y completó tratamiento de 10 días con cotrimoxazol. Discusión: Streptococcus intermedius corresponde a una de las tres especies del grupo “anginosus” o “milleri”, integrante a su vez del grupo viridans. Forma parte de la flora bacteriana habitual orofaringea, de tubo digestivo y vagina. Tiene capacidad de migrar a otros parénquimas, produciendo infecciones abscedantes, a veces polimicrobianas y de difícil erradicación. Estudios nacionales de susceptibilidad antimicrobiana reportan sensibilidades cercanas al 100 por ciento a Penicilina y Cefotaxima. Diversos protocolos microbiológicos de identificación rápida permiten su diferenciación bacteriológica, ayudando a establecer alternativas terapéuticas más adecuadas.

Streptococcus intermedius liver abscesses and colon cancer: a case report.

Certain species of bacteria are known to be associated with colorectal cancer. We report a case of adenocarcinoma of the colon with bacteraemia and liver abscesses due to Streptococcus intermedius. The isolation of this organism should prompt investigation for colorectal neoplasm, which may be present but asymptomatic, without metastases, and therefore at a curative stage.