A case report of primary sternal osteomyelitis caused by polymicrobial bacteria, including Actinomyces israelii .

Autor:	Hamanaka R; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.; Department of Internal Medicine, Usuki City Medical Association Hospital, Japan., Hashimoto T; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan., Mizukami E; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan., Okutsu Y; Department of Dermatology, Usuki City Medical Association Hospital, Japan., Masutomo K; Department of Internal Medicine, Usuki City Medical Association Hospital, Japan., Komiya K; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan., Nureki SI; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan., Shimoda K; Department of Surgery, Usuki City Medical Association Hospital, Japan., Hiramatsu K; Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.
Jazyk:	angličtina
Zdroj:	IDCases [IDCases] 2020 Jul 25; Vol. 21, pp. e00922. Date of Electronic Publication: 2020 Jul 25 (Print Publication: 2020).
DOI:	10.1016/j.idcr.2020.e00922
Abstrakt:	We herein report a case of primary sternal osteomyelitis caused by polymicrobial bacteria, including Actinomyces israelii . A 72-year-old man presented with a fever and precordial pain. Chest computed tomography (CT) revealed peristernal fluid associated with an osteolytic lesion and a peripheral nodule in the right upper lobe. We suspected sternal osteomyelitis, and an incision and drainage were performed. Culture of the drainage fluid and bone tissue yielded A. israelii , Fusobacterium necrophorum , and Streptococcus constellatus . Treatment with benzylpenicillin potassium (PCG) was administered. A subsequent chest CT scan showed that the peripheral nodule decreased in size after antimicrobial therapy. We therefore presumed the peripheral nodule as septic pulmonary embolism(SPE). Antimicrobial agents were administered for a total of 6 months. To our knowledge, this is the first case report of primary sternal osteomyelitis associated with presumed SPE caused by polymicrobial bacteria, including A. israelii . It is important to identify the causative pathogen in osteomyelitis, which requires long-term antibiotic treatment. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2020 The Authors.)
Databáze:	MEDLINE
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