title: [Dog bite infections associated with CDC group EF-4a. Report of 2 cases].
abstract: BACKGROUND
  Group EF-4 bacteria make up part of the normal flora of the oral cavity of dogs and cats. Few reports have been published on the incidence of human infections by this group of bacteria and these are associated with animal bite or scratch. Two cases of infections by CDC group EF-4 by dog bite were diagnosed in 1996 by the Bacteriology Laboratory of the authors' hospital. These cases are herein described and the biochemical analysis and profile of sensitivity of this little known group of bacteria evaluated.
  
  
  METHODS
  Two clinical cases of infection by CDC group EF-4a by dog bite are described. Identification of the bacteria was performed by conventional biochemical tests and quantitative antibiotic sensitivity to 12 antibiotics was carried out by the seried broth macrodilution method.
  
  
  RESULTS
  The two strains isolated corresponded to biovar "a" of group EF-4 being sensitive to: ampicillin, ceftriaxone, aminoglycosides, chloramphenicol, rifamipicin, TMS and ciprofloxacin, intermediate sensitivity to erythromycin and were resistant to cefalotine, oxacillin and vancomycin. With respect to penicillin, one of the strains was sensitive and the other presented intermediate sensitivity. Neither of the strains produced beta lactamase.
  
  
  CONCLUSIONS
  Although Pasteurella sp. is usually considered in dog bite wounds, the possible presence of group EF-4 should be taken into account since the sensitivity of both microorganisms against penicillin and cefalotin, which are effective against Pasteurella but less active against group EF-4 bacteria differ.
authors.affiliation: Laboratorio de Bacteriología, Hospital Interzonal General de Agudos Eva Perón, San Martín, Provincia de Buenos Aires, Argentina.
authors.forename: M N
authors.initials: MN
authors.lastname: Almuzara
authors.forename: S A
authors.initials: SA
authors.lastname: Figueroa
authors.forename: S A
authors.initials: SA
authors.lastname: Palombarani
authors.forename: A A
authors.initials: AA
authors.lastname: Tuduri
authors.forename: N R
authors.initials: NR
authors.lastname: Petracini
mesh_terms: D000293:Adolescent; D000818:Animals; D015373:Bacterial Typing Techniques; D001733:Bites and Stings / Q000150:complications / Q000382:microbiology*; D002648:Child; D003937:Diagnosis, Differential; D004285:Dogs / Q000382:microbiology*; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D008826:Microbial Sensitivity Tests; D009055:Mouth / Q000382:microbiology; D009346:Neisseriaceae / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification* / Q000378:metabolism / Q000472:pathogenicity; D016870:Neisseriaceae Infections / Q000175:diagnosis / Q000382:microbiology / Q000635:transmission*; D010326:Pasteurella Infections / Q000175:diagnosis
vernacular_title: Infecciones por mordedura de perro asociadas a CDC grupo EF-4a. Comunicación de 2 casos.