Document Detail


Three cases of vertebral osteomyelitis caused by Streptococcus dysgalactiae subsp. equisimilis.
MedLine Citation:
PMID:  16192443     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three cases of vertebral osteomyelitis caused by Streptococcus dysgalactiae subsp. equisimilis (Strep. equisimilis) are presented here. All three cases presented with fever, back pain, general malaise and weight loss for at least 4 weeks. Diagnosis was established by culture of a spinal biopsy and/or positive blood cultures together with radiological findings. In all three cases, 6-12 weeks of antibiotics were curative without recourse to surgery. The ability of Strep. equisimilis to cause vertebral osteomyelitis is highlighted. The need is emphasized for biopsy and microbiological investigation in patients presenting with back pain, fever, weight loss and evidence of a spinal lesion on imaging, even if neoplastic disease is suspected. Prolonged antibiotic therapy (at least 6 weeks) seems to be indicated.
Authors:
Aravind Kumar; Jonathan Sandoe; Naresh Kumar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of medical microbiology     Volume:  54     ISSN:  0022-2615     ISO Abbreviation:  J. Med. Microbiol.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-09-29     Completed Date:  2005-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0224131     Medline TA:  J Med Microbiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1103-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Royal Wolverhampton Hospital NHS Trust, Wolverhampton WV10 0QP, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / administration & dosage
Back Pain
Biopsy
Fever
Humans
Male
Middle Aged
Osteomyelitis / drug therapy,  microbiology*,  pathology
Spine / microbiology,  pathology*,  radiography
Streptococcal Infections / drug therapy,  microbiology*,  pathology*
Streptococcus / isolation & purification*
Weight Loss
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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