Vertebral osteomyelitis caused by Streptococcus agalactiae.

J Solís-Garcia del Pozo, E Martinez-Alfaro, L Abad, J Solera

Journal: The Journal of infection 2000;41(1):84-90

PMID: 10942645

Full Text on Elsevier Science View on PubMed

Abstract

Streptococcus agalactiae is a rare cause of vertebral osteomyelitis. We present four cases of spondylitis caused by this micro-organism and a review of 20 cases previously described in the literature. Only seven patients (29%) were under 50 years of age. Diabetes mellitus and neoplasms were the most frequent underlying conditions, although 37.5% of the patients did not have any predisposition. Neck or back pain was the most common symptom. Diagnosis depended mainly on magnetic resonance imaging. Blood cultures were positive in 50% of the patients. The duration of antibiotic therapy was 6 weeks for most patients. The outcome was favourable, with none of the patients suffering serious sequelae.

Address: Department of Internal Medicine, Unit of Infectious Diseases, Albacete General Hospital, Spain.

DOI: 10.1053/jinf.2000.0694

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MeSH Terms: Abscess, Aged, Amoxicillin-Potassium Clavulanate Combination, Ampicillin, Arthroplasty, Replacement, Hip, Cefazolin, Cephalosporins, Drug Therapy, Combination, Female, Gentamicins, Hemoglobins, Humans, Leukocyte Count, Lumbar Vertebrae, MEDLINE, Magnetic Resonance Imaging, Male, Middle Aged, Osteomyelitis, Penicillins, Radiography, Spondylitis, Streptococcal Infections, Streptococcus agalactiae