title: Intervertebral infection caused by Streptococcus milleri. A case report.
abstract: Intervertebral infection caused by Streptococcus milleri is described in a 45-year-old man. Initially, a tuberculous infection was suspected; this diagnosis resulted in a considerable delay in correct diagnosis and treatment. The patient recovered well with combined medical-surgical treatment. Streptococcus milleri, a common inhabitant of the gastrointestinal tract, comprises a variety of strains implicated in deep-seated purulent infections. Although reports of this are rare, S. milleri can be the offending organism in intervertebral disk infections.
authors.affiliation: Department of Medical Microbiology, University Hospital Maastricht, The Netherlands.
authors.forename: J A
authors.initials: JA
authors.lastname: Jacobs
authors.forename: H G
authors.initials: HG
authors.lastname: Pietersen
authors.forename: G H
authors.initials: GH
authors.lastname: Walenkamp
authors.forename: E E
authors.initials: EE
authors.lastname: Stobberingh
authors.forename: P B
authors.initials: PB
authors.lastname: Soeters
mesh_terms: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D015299:Discitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000187:drug effects / Q000302:isolation & purification*; D014399:Tuberculosis, Spinal / Q000175:diagnosis
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents