Abstract
Purpose
To report four cases of ocular infection caused by Gemella species.
Methods
Microbial identification was carried out using the MicroScan Walkaway system (Dade Behring) and/or Vitek-2 (bioMérieux) and susceptibility testing with either Kirby–Bauer disc diffusion and/or Vitek-2. The paper is presented as an interventional case report.
Results
Four patients developed infection due to Gemella species. All responded to vancomycin or fortified aminoglycosides and broad-spectrum antibiotics.
Conclusion
Gemella spp. can cause opportunistic infections in the eye.
Similar content being viewed by others
References
Aspevall O, Hillebrandt E, Linderoth B, Rylander M (1991) Meningitis due to Gemella haemolysans after neurosurgical treatment of trigeminal neuralgia. Scand J Infect Dis 23:503–505
Berger U (1985) Prevalence of Gemella haemolysans on the pharyngeal mucosa of man. Med Microbiol Immunol 174:267–274
Buu-Hoi A, Sapoetra A, Branger C, Acar JF (1982) Antimicrobial susceptibility of Gemella haemolysans isolated from patients with subacute endocarditis. Eur J Clin Microbiol 1:102–106
Garcia-Lechuz JM, Cuevas-Lobato O, Hernamgomez S, Hermida A, Guinea J, Marin M, Pelaez T, Bouza E (2002) Extra-abdominal infections due to Gemella species. Int J Infect Dis 6:78–82
Kilpper-Balz R, Schleifer KH (1988) Transfer of Streptococcus morbillorum to genus Gemella as Gemella morbillorum, comb. nov. Int J Syst Bacteriol 38:442–443
Martha B, Duong M, Buisson M, Grappin M, Piroth L, Chavanet P, Portier H (2003) Acute Gemella haemolysans spondylodiscitis in an immunocompetent patient. Presse Med 32:1273–1275
Raman SV, Evans N, Freegard TJ, Cunningham R.(2003) Gemella haemolysans acute postoperative endophthalmitis Br J Ophthalmol 87:1192–1193
Reyn A (1999) Genus Gemella bergeri. In: Sneath PR (ed) Bergey’s manual of systemic bacteriology, vol 2. Williams and Wilkins, Baltimore, USA, pp 1081–1082
Ritterband D, Shah M, Kresloff M, Intal M, Shabto U, Seedor J (2003) Gemella haemolysans keratitis and consecutive endophthalmitis. Am J Ophthalmol 133:268–269
Tunicliff R (1917) The cultivation of a micrococcus from blood in pre-eruptive and eruptive stages of measles. JAMA 68:1028–1030
Acknowledgments
Supported in part by a grant from the Jewish Hospital, Louisville, Kentucky, USA. The authors acknowledge the excellent technical assistance of George E. Buck, Ph.D., from Norton Healthcare, Louisville, Kentucky and of Mahendra Shah, M.S., from the New York Eye and Ear Infirmary, New York, USA. In addition, we would like to thank Yuri Arvan, M.D., from the University of Louisville for help with the manuscript preparation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hamrah, P., Ritterband, D., Seedor, J. et al. Ocular infection secondary to gemella. Graefe's Arch Clin Exp Ophthalmo 244, 891–892 (2006). https://doi.org/10.1007/s00417-005-0161-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-005-0161-x