Infection

, Volume 21, Issue 6, pp 397–399 | Cite as

Group B streptococcal vertebral osteomyelitis in an adult

  • G. Elhanan
  • R. Raz
Case Report

Summary

Group B beta-hemolytic streptococcus(Streptococcus agalactiae) vertebral osteomyelitis was diagnosed in a 65-year-old man. The patient received a 3-week course of in-hospital intravenous ampicillin followed by ceftriaxone and continued to receive ceftriaxone therapy on an ambulatory basis for 3 more weeks. Hospitalization and follow-up were uncomplicated with no neurological sequelae. Review of the medical literature documented only 15 cases of group B streptococcal osteomyelitis in adults and only three cases of vertebral osteomyelitis due to this pathogen. As in most adult patients with group B streptococcal infections, the patient had coexisting chronic conditions (chronic obstructive lung disease, diabetes mellitus) but bacteremia was not present. Although uncommon, group B streptococcus should be considered as an opportunistic pathogen in patients with debilitating conditions, but vertebral osteomyelitis is even rarer.

Keywords

Ampicillin Osteomyelitis Ceftriaxone Obstructive Lung Disease Chronic Obstructive Lung Disease 

Vertebrale Osteomyelitis durch Streptokokken der Gruppe B bei einem Erwachsenen

Zusammenfassung

Bei einem 65 Jahre alten Mann wurde eine Osteomyelitis der Wirbelsäule durch β-hämolysierende Streptokokken der Gruppe B diagnostiziert. Die Behandlung wurde drei Wochen lang stationär mit Ampicillin intravenös begonnen und mit Ceftriaxon ambulant drei Wochen lang fortgesetzt. Der Verlauf war komplikationslos, neurologische Folgeerscheinungen stellten sich nicht ein. In der Literatur fanden sich nur 15 Fälle von Osteomyelitis durch Streptokokken der Gruppe B bei Erwachsenen und nur drei Fälle mit Wirbelsäulenbefall. Wie bei den meisten Fällen von Infektionen durch diesen Erreger im Erwachsenenalter hatte der Patient chronische Grundkrankheiten wie eine chronisch obstruktive Lungenerkrankung und Diabetes mellitus, doch fand sich keine Bakteriämie. Trotz ihrer Seltenheit sollte die Infektion durch Streptokokken der Gruppe B als eine Möglichkeit der opportunistischen Infektion bei Patienten mit schwächenden Grundkrankheiten bedacht werden. Die Wirbelsäulen-Osteomyelitis durch diesen Erreger ist jedoch noch seltener.

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Copyright information

© MMV Medizin Verlag GmbH München 1993

Authors and Affiliations

  • G. Elhanan
    • 1
  • R. Raz
    • 1
  1. 1.Infectious Diseases UnitCentral Emek HospitalAfulaIsrael

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