Streptococcus gordonii bacteremia in an infant following gastric surgery

Abstract

Streptococcus gordonii is a viridans group streptococci of the S. sangius group that is normally a non-pathogenic inhabitant of the oral cavity and occasionally the gastrointestinal tract. S. gordonii is well-known for its ability to colonize damaged heart valves and cause bacterial endocarditis, but it rarely causes positive blood cultures in patients that undergo diagnostic procedures involving the gastrointestinal tract, such as sigmoidoscopy and gastroduodenoscopy. Herein we report a 5-month-old patient with bacteremia due to S. gordonii following a surgery for malrotation. The source of S. gordonii infection was thought to be the malrotation surgery. To the best of our knowledge, the literature does not include any pediatric cases of S. gordonii bacteremia following a gastric surgery.