A Case of Acute Septic Osteomyelitis Onset due to <i>Streptococcus dysgalactiae </i>subsp. <i>equisimilis </i>in an Elderly Diabetic Patient

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  • TORIKAI Keito
    Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine
  • YAMASAKI Yukitaka
    Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine
  • NEMOTO Takaaki
    Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine
  • ISHII Osamu
    Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine
  • TAKAGI Taeko
    Division of Laboratory Medicine, Department of Infection Control, St. Marianna University School of Medicine
  • TAKEMURA Hiromu
    Division of Laboratory Medicine, Department of Infection Control, St. Marianna University School of Medicine
  • MATSUDA Takahide
    Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine

Bibliographic Information

Other Title
  • 高齢糖尿病患者に発症し急性の経過を呈した <i>Streptococcus dysgalactiae </i>subsp. <i>equisimilis </i>による敗血症性化膿性脊椎炎の 1 例
  • 症例 高齢糖尿病患者に発症し急性の経過を呈したStreptococcus dysgalactiae subsp. equisimilisによる敗血症性化膿性脊椎炎の1例
  • ショウレイ コウレイ トウニョウビョウ カンジャ ニ ハッショウ シ キュウセイ ノ ケイカ オ テイシタ Streptococcus dysgalactiae subsp equisimilis ニ ヨル ハイケツショウセイ カノウセイ セキツイエン ノ 1レイ

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Abstract

Group C streptococci are increasingly causing invasive infections such as that we report here. A 70-year-old man being treated for diabetes and seen at the emergency room for neck pain and fever was hospitalized for possible sepsis. His temperature was 39.8℃, regular pulse 101bpm, and pain reinforced in flexing and cervical rotation. Streptococcus dysgalactiae subsp. equisimilis (SDSE) was cultured from blood. Neck pain gradually decreased with of 2 million units PCG 6 times/day. Magnetic resonance imaging (MRI) of the cervical spine showed high-intensity areas in fat-suppression imaging at C7, Th1 and intervertebral disks plus enhancement around the vertebral body, yielding a diagnosis of cervicothoracic vertebral osteomyelitis. Antimicrobial intravenous therapy continued 6 weeks. The man was discharged after 45 days without relapse.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 85 (5), 508-511, 2011

    The Japanese Association for Infectious Diseases

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