Streptococcus salivarius: más que un probiótico. Reporte de caso de neumonía y bacteremia en un lactante.

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Title: Streptococcus salivarius: más que un probiótico. Reporte de caso de neumonía y bacteremia en un lactante.
Alternate Title: Streptococcus salivarius pneumonia with bacteremia in an infant. Case report.
Authors: Navarro Jay, Shelly1, Fontalvo Rivera, Dilia2 diliafontalvor@gmail.com
Source: Acta Pediatrica de Mexico. Nov/Dec2024, Vol. 45 Issue 6, p625-631. 7p.
Subjects: CHILD patients, PREMATURE infants, STREPTOCOCCUS pyogenes, RESPIRATORY infections, ORAL mucosa
Abstract (English): INTRODUCTION: Streptococcus salivarius (S. salivarius) is a commensal bacterium of the human oral mucosa and gut. It has been used as probiotic in the prevention of lower respiratory tract infection and as a strong antagonist to the growth of Streptococcus pyogenes. Pneumonia due to this bacterium is a rare and invasive disease which has been described in immunosuppressant individuals. Because it is a rare microorganism, its antimicrobial resistance is low. CLINICAL CASE: a seven-month-old male with fever, non-cyanosing cough and rhinorrhea, accompanied by gastrointestinal symptoms that progressed to pneumonia and bacteremia. S. salivarius resistant to beta-lactams and aminoglycosides was isolated from blood culture at 48 hours. He was managed with vancomycin with clinical improvement. CONCLUSION: S. salivarius can cause life-threatening infections in paediatric patients, especially in premature newborn and patients with immunosuppression or malnutrition. We recommend considering these aspects in paediatric patients to prevent negative outcomes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): INTRODUCCIÓN: Streptococcus salivarius (S. salivarius) es un microorganismo comensal del microbioma oral humano. Se ha aplicado como bacterioterapia como antagonista del crecimiento de Streptococcus pyogenes y en la prevención de infección de vías respiratorias inferiores. La neumonía por esta bacteria es muy poco frecuente y se ha descrito enfermedad invasiva en pacientes inmunocomprometidos. Por ser un microorganismo poco frecuente su resistencia antimicrobiana es baja. CASO CLÍNICO: Paciente masculino de siete meses de edad con fiebre en promedio de 39 grados centígrados de tipo remitente, tos continua no cianosante y rinorrea, acompañado de cuadro gastrointestinal que evolucionó a neumonía y bacteremia, con aislamiento de S. salivarius resistente a betalactámicos y aminoglucósidos. Se realizó manejo con vancomicina con buena evolución clínica. CONCLUSIÓN: En el diagnóstico diferencial se debe considerar a las bacterias como S. salivarius que pueden traer serios desenlaces en los pacientes pediátricos, en especial aquellos que tengan factores de riesgo como antecedente de prematurez, inmunocompromiso y desnutrición. [ABSTRACT FROM AUTHOR]
Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Streptococcus salivarius: más que un probiótico. Reporte de caso de neumonía y bacteremia en un lactante.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Streptococcus salivarius pneumonia with bacteremia in an infant. Case report.
– Name: Author
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  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Navarro+Jay%2C+Shelly%22">Navarro Jay, Shelly</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fontalvo+Rivera%2C+Dilia%22">Fontalvo Rivera, Dilia</searchLink><relatesTo>2</relatesTo><i> diliafontalvor@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Acta+Pediatrica+de+Mexico%22">Acta Pediatrica de Mexico</searchLink>. Nov/Dec2024, Vol. 45 Issue 6, p625-631. 7p.
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  Data: <searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22PREMATURE+infants%22">PREMATURE infants</searchLink><br /><searchLink fieldCode="DE" term="%22STREPTOCOCCUS+pyogenes%22">STREPTOCOCCUS pyogenes</searchLink><br /><searchLink fieldCode="DE" term="%22RESPIRATORY+infections%22">RESPIRATORY infections</searchLink><br /><searchLink fieldCode="DE" term="%22ORAL+mucosa%22">ORAL mucosa</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: INTRODUCTION: Streptococcus salivarius (S. salivarius) is a commensal bacterium of the human oral mucosa and gut. It has been used as probiotic in the prevention of lower respiratory tract infection and as a strong antagonist to the growth of Streptococcus pyogenes. Pneumonia due to this bacterium is a rare and invasive disease which has been described in immunosuppressant individuals. Because it is a rare microorganism, its antimicrobial resistance is low. CLINICAL CASE: a seven-month-old male with fever, non-cyanosing cough and rhinorrhea, accompanied by gastrointestinal symptoms that progressed to pneumonia and bacteremia. S. salivarius resistant to beta-lactams and aminoglycosides was isolated from blood culture at 48 hours. He was managed with vancomycin with clinical improvement. CONCLUSION: S. salivarius can cause life-threatening infections in paediatric patients, especially in premature newborn and patients with immunosuppression or malnutrition. We recommend considering these aspects in paediatric patients to prevent negative outcomes. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: INTRODUCCIÓN: Streptococcus salivarius (S. salivarius) es un microorganismo comensal del microbioma oral humano. Se ha aplicado como bacterioterapia como antagonista del crecimiento de Streptococcus pyogenes y en la prevención de infección de vías respiratorias inferiores. La neumonía por esta bacteria es muy poco frecuente y se ha descrito enfermedad invasiva en pacientes inmunocomprometidos. Por ser un microorganismo poco frecuente su resistencia antimicrobiana es baja. CASO CLÍNICO: Paciente masculino de siete meses de edad con fiebre en promedio de 39 grados centígrados de tipo remitente, tos continua no cianosante y rinorrea, acompañado de cuadro gastrointestinal que evolucionó a neumonía y bacteremia, con aislamiento de S. salivarius resistente a betalactámicos y aminoglucósidos. Se realizó manejo con vancomicina con buena evolución clínica. CONCLUSIÓN: En el diagnóstico diferencial se debe considerar a las bacterias como S. salivarius que pueden traer serios desenlaces en los pacientes pediátricos, en especial aquellos que tengan factores de riesgo como antecedente de prematurez, inmunocompromiso y desnutrición. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.18233/apm.v45i6.2692
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      – Code: spa
        Text: Spanish
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        PageCount: 7
        StartPage: 625
    Subjects:
      – SubjectFull: CHILD patients
        Type: general
      – SubjectFull: PREMATURE infants
        Type: general
      – SubjectFull: STREPTOCOCCUS pyogenes
        Type: general
      – SubjectFull: RESPIRATORY infections
        Type: general
      – SubjectFull: ORAL mucosa
        Type: general
    Titles:
      – TitleFull: Streptococcus salivarius: más que un probiótico. Reporte de caso de neumonía y bacteremia en un lactante.
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            NameFull: Navarro Jay, Shelly
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            NameFull: Fontalvo Rivera, Dilia
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            – D: 01
              M: 11
              Text: Nov/Dec2024
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              Y: 2024
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