Which physical findings are characteristic of group D streptococcal bacteremia?

Updated: Mar 02, 2021
  • Author: Shirin A Mazumder, MD, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Group D streptococcal bacteremia manifests as fever without localizing signs.

The following are the physical findings of group D streptococcal endocarditis:

  • A minority of patients with group D streptococcal endocarditis have heart murmurs at presentation. Murmurs usually develop with time.
  • Classic peripheral signs occasionally observed include splinter hemorrhages, conjunctival petechiae, Osler nodules, Janeway lesions, and Roth spots. At least one of these manifestations occurs in approximately 50% of cases.
  • Embolic phenomena may include neurologic manifestations, septic infarctions, or vascular occlusion.
  • Renal failure may be present and may be caused by an immune-complex glomerulonephritis.
  • If cerebral hemorrhage is observed, it is a consequence of a ruptured mycotic aneurism.

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