Group G streptococcal bacteremia. The clinical experience at Boston University Medical Center and a critical review of the literature

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Abstract
Patients (26) with bacteremia caused by group G streptococci were seen during a 29-mo. period. The epidemiology of these infections has not changed appreciably during the last 15 yr. The disease occurs most commonly as an acute community-acquired infection in older persons with underlying conditions predisposing to skin breakdown. Patients with these bacteremias fall into 3 categories: those with associated cutaneous infection only; those with serious focal infection and those with probable infection. Underlying neoplastic conditions were relatively uncommon (25%) in the series compared with others (65%). In contrast to recent reports emphasizing this complication, endocarditis was uncommon in the patients. A prompt response to therapy with .beta.-lactam antibiotics occurred in most of the patients.

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