title: Fulminant septicaemia due to Streptococcus milleri infection in a previously healthy adult.
abstract: A 59-year-old previously healthy female developed purulent pharyngitis leading rapidly to neck cellulitis, septicaemic shock and fatal cardiac arrest despite appropriate antibiotic therapy. Streptococcus milleri was isolated from a submandibular abscess, cellulitic neck tissue and blood cultures. Fulminant septicaemia due to this group of organisms is relatively uncommon and usually occurs in the immunocompromised or otherwise chronically unwell.
authors.affiliation: Department of Medical Microbiology, University Hospital of Wales, Heath Park, Cardiff, UK.
authors.forename: P G
authors.initials: PG
authors.lastname: Flanagan
authors.forename: R G
authors.initials: RG
authors.lastname: Mills
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D013291:Streptococcus / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents