Group G streptococcal bacteremia in a chronically constipated adolescent.
A chronically constipated, mentally retarded male adolescent was admitted on two occasions with gastroenteritis symptoms and stool positive for group G Streptococcus. The first episode was also associated with group G streptococcal bacteremia. This case of group G streptococcal disease is unique in that the primary symptoms were those of gastroenteritis. In the context of chronic constipation in colonic distention, the case appears to support the hypothesis of Watsky et al that group G streptococcal bacteremia is promoted by processes which breach anatomic mucosal or epithelial infection barriers.
D000293:Adolescent; D002908:Chronic Disease; D003248:Constipation / Q000150:complications*; D006801:Humans; D008297:Male; D012008:Recurrence; D018805:Sepsis / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications*