title: Fatal infection caused by a multiply resistant type 3 pneumococcus.
abstract: The most virulent pneumococcal serotype (type 3) has not to date been associated with multiple antimicrobial resistance. We report an unusual gastrointestinal presentation of fatal septicemia caused by a multiply resistant type 3 pneumococcus in a setting of increasing prevalence of multiple resistance, including resistance to erythromycin, clindamycin, and tetracycline.
authors.affiliation: Department of Internal Medicine, J.G. Strijdom Hospital, Johannesburg, South Africa.
authors.forename: J B
authors.initials: JB
authors.lastname: Lawrenson
authors.forename: K P
authors.initials: KP
authors.lastname: Klugman
authors.forename: J I
authors.initials: JI
authors.lastname: Eidelman
authors.forename: A
authors.initials: A
authors.lastname: Wasas
authors.forename: S D
authors.initials: SD
authors.lastname: Miller
authors.forename: J
authors.initials: J
authors.lastname: Lipman
mesh_terms: D000293:Adolescent; D002981:Clindamycin / Q000494:pharmacology; D004352:Drug Resistance, Microbial; D004917:Erythromycin / Q000494:pharmacology; D005759:Gastroenteritis / Q000382:microbiology*; D006801:Humans; D008297:Male; D010406:Penicillins / Q000494:pharmacology; D011008:Pneumococcal Infections / Q000382:microbiology*; D018805:Sepsis / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000187:drug effects*; D013752:Tetracycline / Q000494:pharmacology; D013753:Tetracycline Resistance
chemical_list: D010406:Penicillins; D002981:Clindamycin; D004917:Erythromycin; D013752:Tetracycline