How is gemella treated?
[29]Gemella species is generally sensitive to penicillin G, and a combination of penicillin G and gentamicin is the current treatment of choice for these infections, whereas vancomycin can be used in patients with penicillin allergy.
Where is gemella found?
human mucous membranes
Gemella is a Gram-positive, catalase-negative, facultatively anaerobic coccus bacterium. It is particularly located in human mucous membranes, such as oral cavity, upper respiratory tract and gastrointestinal tract. It may cause local infection or widespread infection.
What is Gemella morbillorum infection?
Gemella morbillorumis a bacterium that is present in the normal flora of human oropharynx, genitourinary system, and the gastrointestinal system [1]. Infective endocarditis caused by this microorganism is a very rare condition. Native valve endocarditis is reported more commonly relative to prosthetic valve endocarditis.
Is Antimicrobial Susceptibility Testing for Gemella species predictable?
Gemella species (GS) are normal human flora that can cause serious infections such as endocarditis. Minimum inhibitory concentration (MIC) breakpoints were recently established in the CLSI M45 A3 document. Published guidelines emphasize that antimicrobial susceptibility testing (AST) for GS is unpredictable.
What is the best treatment for Guillain-Barré-morbillorum (GBM)?
In our case, G. morbillorum was susceptible to all antibiotics in the antibiogram; however since the spleen abscess could not be excluded, treatment with ampicillin-sulbactam + gentamicin was preferred. The patient was shifted to meropenem + vancomycin treatment upon failure to achieve inadequate response to this treatment.
Is there a minimum MIC breakpoint for Gemella species infection?
Background. Gemella species (GS) are normal human flora that can cause serious infections such as endocarditis. Minimum inhibitory concentration (MIC) breakpoints were recently established in the CLSI M45 A3 document.