title: Osteomyelitis due to Bacillus cereus in an adolescent: case report and review.
abstract: Non-anthracis Bacillus species associated with clinical infections are usually dismissed as contaminants or nonpathogens. As opportunists, however, Bacillus organisms can cause significant systemic infections including bacteremia, endophthalmitis, and pneumonia. Osteomyelitis with non-anthracis Bacillus organisms has been described in adults, although to our knowledge it has been described only once in a child. We report a case of chronic osteomyelitis due to Staphylococcus aureus and superinfection with Bacillus cereus in a 13-year-old adolescent. A Bacillus isolate should be considered a true pathogen in children with chronic osteomyelitis who have a poor clinical response to antistaphylococcal therapy.
authors.affiliation: Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio.
authors.forename: M E
authors.initials: ME
authors.lastname: Schricker
authors.forename: G H
authors.initials: GH
authors.lastname: Thompson
authors.forename: J R
authors.initials: JR
authors.lastname: Schreiber
mesh_terms: D000293:Adolescent; D016863:Bacillaceae Infections / Q000209:etiology* / Q000628:therapy; D001409:Bacillus cereus; D016025:Bone Transplantation; D003131:Combined Modality Therapy; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011859:Radiography; D013203:Staphylococcal Infections / Q000150:complications; D015163:Superinfection / Q000209:etiology* / Q000628:therapy; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D014640:Vancomycin