[Cervical spine infection with Streptococcus anginosus. Case report].
A case of cervical spine infection due to Streptococcus anginosus is reported. Streptococcus milleri is encountered in the mouth, gastro-intestinal tract, vagina and nasopharynx. It is an uncommon pathogen responsible of suppurative infections such as brain liver or spleen abscesses, intra-abdominal or soft tissue abscesses and pleural empyema. In rare cases it can cause spondylodiscitis and osteomyelitis. Based on the review of eight cases of spondylodiscitis or osteomyelitis, diagnosis and treatment are discussed.
Fabie
F
F
Service de Neurochirurgie, CHU Rangueil, 1, avenue J. Poulhès, 31403 Toulouse Cedex 4, France.
Arrue
P
P
Thorn-Kany
M
M
Toulemonde
A
A
Vally
P
P
Lagarrigue
J
J
D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D019547:Neck Pain / Q000209:etiology*; D013166:Spondylitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013291:Streptococcus / Q000145:classification / Q000302:isolation & purification* / Q000472:pathogenicity; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014640:Vancomycin / Q000627:therapeutic use
D008795:Metronidazole; D014640:Vancomycin; D000667:Ampicillin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination