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The Clinical Experience at Boston University Medical Center and a Critical Review of the Literature

Kalman L. Watsky, MD; Nancy Kollisch, MD; Peter Densen, MD

Arch Intern Med. 1985;145(1):58-61.

Abstract
• Twenty-six patients with bacteremia caused by group G streptococci were seen during a 29-month period. Our findings suggest that the epidemiology of these infections has not changed appreciably during the last 15 years. The disease occurs most commonly as an acute community-acquired infection in older persons with underlying conditions predisposing to skin breakdown. Patients with these bacteremias fall into three categories: those with associated cutaneous infection only; those with serious focal infection; and those with probable infection. Underlying neoplastic conditions were relatively uncommon (25%) in our series compared with others (65%). In contrast to recent reports emphasizing this complication, endocarditis was uncommon in our patients. A prompt response to therapy with β-lactam antibiotics occurred in most of our patients.

(Arch Intern Med 1985;145:58-61)

Author Affiliations
From the Evans Memorial Department of Clinical Research and the Department of Medicine, Boston University Medical Center. Dr Densen is now at the University of Iowa Hospitals and Clinics, Iowa City.

Footnotes
Accepted for publication May 8, 1984.

Reprint requests to Division of Infectious Diseases, Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Densen).

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