title: Streptococcus salivarius meningitis case strain traced to oral flora of anesthesiologist.
abstract: Two women in labor received intrapartum spinal anesthesia from the same anesthesiologist approximately 1 h apart. Within 15 h, both patients developed Streptococcus salivarius meningitis and one patient died. Blood and cerebrospinal fluid (CSF) samples from both patients and tongue swab specimens from the anesthesiologist yielded isolates of an indistinguishable S. salivarius strain.
authors.affiliation: Respiratory Diseases Branch, Division of Bacterial Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Shewmaker
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gertz
authors.forename: Clara Y
authors.initials: CY
authors.lastname: Kim
authors.forename: Sietske
authors.initials: S
authors.lastname: de Fijter
authors.forename: Mary
authors.initials: M
authors.lastname: DiOrio
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Moore
authors.forename: Bernard W
authors.initials: BW
authors.lastname: Beall
mesh_terms: D000775:Anesthesia, Spinal; D015373:Bacterial Typing Techniques / Q000379:methods*; D003470:Culture Media; D004269:DNA, Bacterial / Q000032:analysis; D016521:Electrophoresis, Gel, Pulsed-Field; D017809:Fatal Outcome; D005260:Female; D005798:Genes, Bacterial / Q000235:genetics; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient; D008505:Medical Staff, Hospital; D016920:Meningitis, Bacterial / Q000209:etiology / Q000382:microbiology; D011247:Pregnancy; D013291:Streptococcus / Q000235:genetics / Q000254:growth & development / Q000302:isolation & purification*; D014059:Tongue / Q000382:microbiology*
chemical_list: D003470:Culture Media; D004269:DNA, Bacterial