title: Pulmonary nodules associated with Gemella bacteremia: CT findings in two children with osteosarcoma.
abstract: Gemella morbillorum and Gemella haemolysans are normal oral flora that can also be pathogenic. We report 2 cases of adolescents with osteosarcoma who developed multiple pulmonary nodules associated with Gemella bacteremia. These nodules mimicked metastatic disease. To our knowledge, this manifestation of Gemella infection has not been previously reported. In the setting of malignancy, infectious pulmonary nodules must be distinguished from metastatic nodules in order to treat appropriately.
authors.affiliation: Department of Radiology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY 10467, USA. nblitman@montefiore.org
authors.forename: Netta M
authors.initials: NM
authors.lastname: Blitman
authors.forename: Ari M
authors.initials: AM
authors.lastname: Steiner
authors.forename: Moshe D
authors.initials: MD
authors.lastname: Bell
authors.forename: Lisa
authors.initials: L
authors.lastname: Wilks-Gallo
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000382:microbiology; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000556:secondary; D008297:Male; D012516:Osteosarcoma / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D012131:Respiratory Insufficiency / Q000150:complications; D040141:Staphylococcaceae / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed / Q000379:methods