Similar genera of anaerobes are isolated from pulmonary infections in children (6-8) and adults (1,3,5,9) and include pigmented Prevotella and Porphyromonas, Bacteroides, Fusobacterium, and Peptostreptococcus spp. (Table 2). Many anaerobic gram-negative bacilli (AGNB) can produce the enzyme beta-lactamase. Organisms of the Bacteroides fragilis group, which are most frequently involved in intra-abdominal infections, can also be isolated in lower respiratory infections. Prompt identification of these organisms can assist in the initiation of appropriate antimicrobial therapy.
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