title: Multiple Streptococcus pneumoniae serotypes in aural discharge samples from children with acute otitis media with spontaneous otorrhea.
abstract: Among 55 children with cultures positive for acute otitis media with spontaneous otorrhea, 28 (51%) had cultures positive for aural Streptococcus pneumoniae, and in 10 of these, two distinct strains were detected, in which 5 had pairs of strains that were both capsule-bearing serotypes. Such cases were more likely to have cultures positive for other otopathogens than those with only one pneumococcus present.
authors.affiliation: Infectious Diseases Unit and Emergency Service, Hospital Pediátrico de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
authors.forename: Fernanda
authors.initials: F
authors.lastname: Rodrigues
authors.forename: Begonia
authors.initials: B
authors.lastname: Morales-Aza
authors.forename: Katy M E
authors.initials: KM
authors.lastname: Turner
authors.forename: Paulina
authors.initials: P
authors.lastname: Sikora
authors.forename: Katherine
authors.initials: K
authors.lastname: Gould
authors.forename: Jason
authors.initials: J
authors.lastname: Hinds
authors.forename: Guilherme
authors.initials: G
authors.lastname: Gonçalves
authors.forename: Luís
authors.initials: L
authors.lastname: Januário
authors.forename: Adam
authors.initials: A
authors.lastname: Finn
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D060085:Coinfection / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010035:Otitis Media, Suppurative / Q000382:microbiology*; D011008:Pneumococcal Infections / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000145:classification* / Q000302:isolation & purification*