Document Detail

Vertebral osteomyelitis and endocarditis of a pacemaker lead due to Granulicatella (Abiotrophia) adiacens.
MedLine Citation:
PMID:  12382095     Owner:  NLM     Status:  MEDLINE    
Systemic infection due to Granulicatella (formerly Abiotrophia), a species of nutrition-deficient gram-positive cocci, is rare. We present the case of a 68-year-old diabetic male who presented with back pain and a history of fever and chills. Imaging studies revealed vertebral osteomyelitis of the Th 10/11 region. Transesophageal echocardiography disclosed a vegetation adjacent to the pacemaker lead and blood cultures grew Granulicatella adiacens. A diagnosis of vertebral osteomyelitis and endocarditis due to G. adiacens was made and the patient improved with bed rest and medical treatment alone. Granulicatella ssp. should always be part of the differential diagnosis of fastidious bacteria in vertebral osteomyelitis and endocarditis.
O Rosenthal; A Woywodt; P Kirschner; H Haller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Infection     Volume:  30     ISSN:  0300-8126     ISO Abbreviation:  Infection     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-16     Completed Date:  2002-12-13     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0365307     Medline TA:  Infection     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  317-9     Citation Subset:  IM    
Division of Nephrology, University of Hannover School of Medicine, Hannover, Germany.
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MeSH Terms
Anti-Bacterial Agents
Bacteremia / complications,  drug therapy,  microbiology*
Drug Therapy, Combination / administration & dosage
Endocarditis, Bacterial / complications,  drug therapy,  microbiology*
Follow-Up Studies
Gram-Positive Bacterial Infections / complications,  drug therapy,  microbiology*
Pacemaker, Artificial / adverse effects,  microbiology
Risk Assessment
Spondylitis / complications,  drug therapy,  microbiology*
Streptococcaceae / isolation & purification*
Thoracic Vertebrae*
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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