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Infection

, Volume 30, Issue 5, pp 317–319 | Cite as

Vertebral Osteomyelitis and Endocarditis of a Pacemaker Lead Due to Granulicatella (Abiotrophia) adiacens

  • O. Rosenthal
  • A. Woywodt
  • P. Kirschner
  • H. Haller
Case Report

Abstract.

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.

Keywords

Differential Diagnosis Medical Treatment Back Pain Image Study Blood Culture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Urban & Vogel Medien und Medizin Verlagsgesellschaft 2002

Authors and Affiliations

  • O. Rosenthal
    • 1
  • A. Woywodt
    • 1
  • P. Kirschner
    • 2
  • H. Haller
    • 1
  1. 1.Division of Nephrology, University of Hannover School of Medicine, Hannover, Germany. woywodt.alexander@mh-hannover.deDE
  2. 2.Dept. of Microbiology, University of Hannover School of Medicine, Hannover, GermanyDE

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