{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:16:55Z","timestamp":1780474615737,"version":"3.54.1"},"reference-count":10,"publisher":"Microbiology Society","issue":"6","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:p>\n                  <jats:bold>Introduction.<\/jats:bold> A case of pneumococcal mastitis in a breast-feeding mother 6 months postpartum is described. Mastitis is usually caused by <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.11043\" xlink:type=\"simple\">Staphylococcus aureus<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic>. A review of the literature from 1950 to March 2018 revealed only four other cases in which the causative organism was <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5677\" xlink:type=\"simple\">Streptococcus pneumoniae<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic>\n               <\/jats:p>\n               <jats:p>\n                  <jats:bold>Case presentation.<\/jats:bold> The nursing mother presented with high fever and the four cardinal signs of inflammation of the left breast: calor, dolor, rubor, tumour. In milk culture <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5677\" xlink:type=\"simple\">Streptococcus pneumoniae<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic> was isolated in numbers exceeding 10<jats:sup>5<\/jats:sup> \u2009c.f.u.\u2009ml<jats:sup>\u22121<\/jats:sup> . The strain was of polysaccharide serotype 11 not included in Prevnar-13. Susceptibility testing showed full sensitivity to <jats:italic>\u03b2<\/jats:italic>-lactam antibiotics as well as to macrolides, lincosamides, vancomycin and tetracycline<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion.<\/jats:bold>\n                  <jats:italic>\n                     <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5677\" xlink:type=\"simple\">Streptococcus pneumoniae<\/jats:ext-link>\n                     <\/jats:named-content>\n                  <\/jats:italic> should be considered as a possible causative agent of puerperal mastitis<\/jats:p>","DOI":"10.1099\/acmi.0.000020","type":"journal-article","created":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T14:14:10Z","timestamp":1556115250000},"source":"Crossref","is-referenced-by-count":2,"title":["Pneumococcal puerperal mastitis in a lactating mother"],"prefix":"10.1099","volume":"1","author":[{"given":"T.","family":"Skalidis","sequence":"first","affiliation":[{"name":"Central Laboratories, IASO Gynecology, Maternity and Pediatric Hospital, IASO Group Hospitals, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Stamnidi","sequence":"additional","affiliation":[{"name":"Central Laboratories, IASO Gynecology, Maternity and Pediatric Hospital, IASO Group Hospitals, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0592-9591","authenticated-orcid":false,"given":"V.","family":"Syriopoulou","sequence":"additional","affiliation":[{"name":"Medical School, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Kontopoulos","sequence":"additional","affiliation":[{"name":"IASO Gynecology, Maternity Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Legakis","sequence":"additional","affiliation":[{"name":"Central Laboratories, IASO Gynecology, Maternity and Pediatric Hospital, IASO Group Hospitals, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"345","reference":[{"key":"R1","volume-title":"Mastitis: Causes and Management. WHO\/FCH\/CAH\/00.13","year":"2000"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-3-6"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-114"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02111883"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1007\/BF01691383"},{"key":"R6","article-title":"Streptococcus pneumoniae as a cause of lactational mastitis: a case report","author":"Hald Vester","year":"2018","journal-title":"Clin Case Rep"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-007-0283-7"},{"key":"R8","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4103\/2230-8229.83375","article-title":"Breast abscess caused by penicillin resistant Pneumococci","volume":"18","author":"Appalaraju","year":"2011","journal-title":"J Family Community Med"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2010.04.020"},{"key":"R10","first-page":"119","volume-title":"The Pneumococcus","author":"Spratt","year":"2004"}],"container-title":["Access Microbiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000020?crawler=true&mimetype=application\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T05:28:30Z","timestamp":1702618110000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.microbiologyresearch.org\/content\/journal\/acmi\/10.1099\/acmi.0.000020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,8,1]]}},"URL":"https:\/\/doi.org\/10.1099\/acmi.0.000020","relation":{},"ISSN":["2516-8290"],"issn-type":[{"value":"2516-8290","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,1]]}}}