title: Pneumococcal vertebral osteomyelitis in an adult.
abstract: We have presented the case of an adult with a chronic and indolent pneumococcal vertebral osteomyelitis, mimicking a malignancy and making diagnosis difficult. The increased frequency of relatively penicillin-resistant strains of pneumococci necessitates susceptibility testing and complicates the selection of antibiotic therapy for serious pneumococcal infections.
mesh_terms: D002437:Cefazolin / Q000627:therapeutic use; D002515:Cephradine / Q000627:therapeutic use; D002908:Chronic Disease; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000188:drug therapy / Q000209:etiology*; D010403:Penicillin Resistance; D011008:Pneumococcal Infections / Q000188:drug therapy
chemical_list: D002515:Cephradine; D002437:Cefazolin