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Table 4 Summary of the reported cases of clinical infections by Streptococcus gallolyticus subsp. pasteurianus

From: Microbiological and clinical characteristics of Streptococcus gallolyticus subsp. pasteurianus infection in China

 

present study

1 [4]

2 [11]

3[14]

4 [20]

5[21]

Number

45

20 patients (22 isolates were recovered)

126

24

13

2

Study period

2011–2017

May 2010-Jan 2012

2000–2012

January 2003 and January 2010

2004–2010

1988–2014

Country/area

China

Italy

Taiwan

Spain

Israel

Spain

Demographic characteristics

 Gender (Male/female)

17/28

7/13

79/47

NA

7/6

1/1

 Age (mean ± SD or median and IQD, years)

67 ± 22

72 ± 13

70(55,78)

NA

60 ± 33

89 and 62

  Age > 65 years

19(42.2%)

15

76(60%)

NA

NA

1(50%)

  Pregnant women

11(24.4%)

0

NA

NA

2(15%)

0

  Neonates(< 3 months of age)

1(2.2%)

0

NA

NA

2(15%)

0

  Paediatric patients (< 18 years)

1(2.2%)

0

5(4%)

NA

NA

NA

Infection types/source

Bacteremia (17), urine (16), bile (1), ascitic fluid (1), abdominal puncture fluid (1), peripancreatic drainage (1), peritoneal fluid (1), CSF(1) and fetal membrane/placenta (9)

UTI(10), bacteremia(2), limb ulcer (1), bile(3)

Bacteremia(126)

Bacteremia(24)

Bacteremia(13)

Spondylodiscitis/ paravertebral abscess (1), pubicsymphysitis and UTI(1)

Underlying diseases

 Diabetes

10(22.2%)

8(40%)

43(34%)

2(8.3%)

2(15%)

1(50%)

 Chronic renal failure

NA

1(5%)

22(17%)

1(4.2%)

3(23%)

NA

 Liver disease

NA

4(20%)

53(42%)

NA

4(31%)

NA

 Malignancy (past or active)

4(8.9%)

6(30%)

68(54%)

9(37.5%, colonic adenoma (4); bladder cancer(1); prostate cancer(1); pulmonary cancer(1); mucosa-associated lymphoid tissue lymphoma (1); leukemia(1))

3(23%)

Adenoma(1); prostate cancer(1)

 Gastrointestinal tract tumors

4(8.9%)

4(20%)

51(40%, including colon/rectum, stomach, pancreas, liver, bile duct).

4(16.7%)

4(31%)

1(50%)

 Biliary pathology

1(2.2%)

4(20%)

9(7%, biliary tract stone)

5(20.8%)

2(15%)

NA

 Bacteriuria

16(35.6%)

14(70%)(50% UTI);

2(2%)

0

NA

1(50%)

 Endocarditis

1(2.2%)

2(10%)

17(13%)

6(25%)

3(23%)

1(50%)

 Identification methods

BD Phoenix 100, 16S rRNA/gyrB sequencing

Phoenix100, 16S rDNA sequencing, MALDI Biotyper Bruker and Vitek MS

Vitek automated system; 16S rRNA and sodA genes and PCR-RFLP assays of groESL gene

API 20 Strep system, semiautomated Wider system, 16S rRNA and sodA PCR, Bruker Biotyper MALDI-TOF MS

PCR-RFLP/Vitek 2

API 20 Strep system/ Vitek 2, 16S rRNA/sodA sequencing

Antibiotic susceptibility rate (median, μg/mL)(susceptibility rate(%))

 penicillin

0.125(100)

NA(100)

0.06(100)

NA (NA)

0.06(100)

NA (NA)

 cefatriaxone

< 0.5(100)

NA(100% to cefotaxime)

0.12(100)

NA (NA)

0.09(100)

NA (NA)

 erythromycin

> 4(11.1%, erm(B)/erm(A), erm(B)/mef(A/E), and erm(B)/erm(T) were detected in 7, 4, and 3 isolates, respectively).

NA(68.2%, all resistant isolates belonged to the cMLSB phenotype, carried erm(B)).

32(37%)

0.5(62.5%)

NA (NA)

NA (NA)

 clindamycin

> 4(11.1%)

NA(68.2%)

0.06(39%)

0.5(75%)

NA (NA)

NA (NA)

 levofloxacin

2(73.3%)

NA (NA)

2(82%)

0.5(91.7%)

NA (NA)

NA (NA)

 vancomycin

≤0.25

NA (NA)

0.5(100%)

NA (NA)

NA (NA)

NA (NA)

 tetracycline (μg/mL)

> 8((4.4%), 39 strains carried tet(L), 27 tet(O), and 7 tet(M), alone or combined, respectively.)

NA(31.8%, the resistant isolates carried tet(O)(11) and tet(M)(4).

NA (NA)

NA (NA)

NA (NA)

NA (NA)

  1. NA Not available, CSF Cerebrospinal fluid, UTI urinary tract infection; Number in parentheses represents strains, and no number signified only one strain was detected