Streptococcus Constellatus Spondylodiscitis in a Teenager: A Case Report
| Autor: | H Y Lim, T Kannaiah, Z Zuki, S W Lim |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Spondylodiscitis medicine.medical_specialty 030106 microbiology Erythromycin Streptococcus constellatus 03 medical and health sciences 0302 clinical medicine Medicine Orthopedics and Sports Medicine S. constellatus spondylodiscitis low back pain Neurological deficit Orthopedic surgery biology business.industry biology.organism_classification medicine.disease Low back pain CT guided biopsy Surgery Penicillin Emergency Medicine Original Article 030211 gastroenterology & hepatology medicine.symptom business Image-Guided Biopsy RD701-811 medicine.drug |
| Zdroj: | Malaysian Orthopaedic Journal, Vol 11, Iss 3, Pp 50-52 (2017) Malaysian Orthopaedic Journal |
| ISSN: | 2232-111X 1985-2533 |
| Popis: | Streptococcus constellatus is an extremely rare cause of pyogenic spondylodiscitis. Literature search yielded only one case report in an elderly 72 years old man with spontaneous T10-T11 S. constellatus spondylodiscitis. It is virtually unheard of in young teenage. We report the case of a 14 years old male teenager who presented with worsening low back pain for one year with no neurological deficit. Imaging studies were consistent with features of L4-L5 spondylodiscitis. CT guided biopsy grew a pure culture of streptococcus constellatus sensitive to penicillin and erythromycin. He showed full recovery with six weeks of intravenous antibiotics. Due to the insidious onset, this case highlight the importance of high clinical suspicion and early diagnosis, with image guided biopsy followed by treatment with appropriate intravenous antibiotics to enable full recovery without further neurological deterioration. |
| Databáze: | OpenAIRE |
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