title: Granulicatella adiacens bacteremia in an elderly trauma patient.
abstract: BACKGROUND
  Granulicatella adiacens is a normal commensal of human mucosal surfaces, inhabiting the oral cavity and urogenital and gastrointestinal tracts and only rarely causing disease. These gram-positive cocci can be difficult to identify.
  
  
  METHODS
  We report a first case of bacteremia caused by Granulicatella adiacens in an elderly female trauma victim. The infection was diagnosed accurately, and the patient was treated successfully.
  
  
  CONCLUSIONS
  Granulicatella adiacens may be a more important pathogen than thus far recognized because of a lack of adequate diagnostic resources. Standards for sensitivity testing are needed urgently.
authors.affiliation: Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908-0709, USA.
authors.forename: Jason C
authors.initials: JC
authors.lastname: Gardenier
authors.forename: Tjasa
authors.initials: T
authors.lastname: Hranjec
authors.forename: Robert G
authors.initials: RG
authors.lastname: Sawyer
authors.forename: Hugo
authors.initials: H
authors.lastname: Bonatti
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D056568:Carnobacteriaceae / Q000302:isolation & purification*; D002437:Cefazolin / Q000008:administration & dosage; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications*
chemical_list: D000900:Anti-Bacterial Agents; D002437:Cefazolin