title: Bacteremic pneumonia caused by penicillin-resistant pneumococci: Case report and review with a Canadian perspective.
abstract: A Canadian adult with bacteremic pneumonia caused by a relatively penicillin-resistant (minimal inhibitory concentration 0.25 μg/mL) Streptococcus pneumoniae is reported, and the published literature regarding penicillin-resistant pneumococci in Canada reviewed. Although penicillin resistance has been reported infrequently to date, this case emphasizes the need for routine antimicrobial sensitivity testing of all pneumococci isolated from normally sterile sites, and for ongoing systematic surveillance for penicillin and other antibiotic resistance in Canada.
authors.affiliation: Division of Infectious Diseases, Division of Microbiology, Department of Laboratory Medicine, University Hospital - Shaughnessy Site, University of British Columbia, Vancouver, British Columbia.
authors.forename: D R
authors.initials: DR
authors.lastname: Burdge
authors.forename: V C
authors.initials: VC
authors.lastname: Woo
authors.forename: P M
authors.initials: PM
authors.lastname: Ritchie