BMJ case reports, 2014-05, Vol.2014, p.bcr2013200532
2014
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- 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
- MEDLINE
- 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.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1757-790XeISSN: 1757-790XDOI: 10.1136/bcr-2013-200532Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4039795
- Format
- –
- Schlagworte
- Adults, Analgesics, Anti-Bacterial Agents - administration & dosage, Back pain, Back surgery, Biopsy, Biopsy, Needle, Cardiovascular disease, Ceftriaxone - administration & dosage, Chest Pain - diagnosis, Chest Pain - etiology, Chronic Disease, Diagnosis, Differential, Discitis - diagnosis, Discitis - drug therapy, Discitis - microbiology, Emergency Service, Hospital, Endocarditis, Fever, Gram-positive bacteria, Hospitalization, Humans, Immunohistochemistry, Industrialized nations, Infections, Infusions, Intravenous, Magnetic Resonance Imaging - methods, Male, Medical imaging, Middle Aged, Neutrophils, Pain Measurement, Rib cage, Severity of Illness Index, Sinusitis - diagnosis, Sinusitis - drug therapy, Sinusitis - microbiology, Streptococcal Infections - diagnosis, Streptococcal Infections - drug therapy, Streptococcus mitis - isolation & purification, Thoracic Vertebrae, Treatment Outcome, Tuberculosis, Ultrasonic imaging, Unusual Association of Diseases/Symptoms, USA/Canada, Vancomycin - administration & dosage, White