LAB WORK​

• G(-) diplococcus

TREATMENT​ OPTIONS

• ​Virtually all strains produce beta lactamase! DO NOT USE PENICILLIN, AMOXICILLIN, AMPICILLIN
• Choose from the following:
  • Augmentin
  • Bactrim
  • Tetracyclines
  • 3rd generation cephalosporins (e.g., Rocephin, cefixime, cefpodoxime)
  • Macrolides (azithromycin, clarithromycin)
  • Fluoroquinolone (levofloxacin, moxifloxacin)

​CLINICAL NOTES​

• Common human respiratory tract pathogen causing mucosal infections via spread from airways (up to 5% of healthy adults are colonized); seen in pediatric OM and adult CAP and COPD exacerbations
• Does not typically cause invasive disease, bacteremia is rare (although possible in children with normal immune systems and in immunocompromised adults)