Intervertebral infection caused by Streptococcus milleri. A case report.
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.
Jacobs
J A
JA
Department of Medical Microbiology, University Hospital Maastricht, The Netherlands.
Pietersen
H G
HG
Walenkamp
G H
GH
Stobberingh
E E
EE
Soeters
P B
PB
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
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents