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BMJ case reports, 2014-05, Vol.2014, p.bcr2013200532
2014
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Details

Autor(en) / Beteiligte
Titel
Atypical presentation of thoracic spondylodiscitis caused by Streptococcus mitis
Ist Teil von
  • BMJ case reports, 2014-05, Vol.2014, p.bcr2013200532
Ort / Verlag
England: BMJ Publishing Group LTD
Erscheinungsjahr
2014
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
  • Spondylodiscitis, which is most commonly caused by Staphylococcus aureus, is an uncommon infection in adults. The diagnosis of spondylodiscitis is often delayed by its vague and non-specific presentations. As part of the normal flora in human mouth and sinuses, Streptococcus mitis is a very rare cause of spondylodiscitis. We report a case of thoracic spondylodiscitis caused by S. mitis in a patient with chronic sinusitis. The patient atypically presented with a sharp chest pain that radiated to the back and the imaging studies were initially negative. He failed outpatient pain management and the diagnosis of spondylodiscitis was confirmed by bone biopsy 6 weeks later. Treatment with antibiotics completely alleviated the pain. Increased awareness and a high index of suspicion are essential for early diagnosis of spondylodiscitis with an atypical presentation.

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