title: Vertebral osteomyelitis and endocarditis of a pacemaker lead due to Granulicatella (Abiotrophia) adiacens.
abstract: Systemic infection due to Granulicatella (formerly Abiotrophia), a species of nutrition-deficient gram-positive cocci, is rare. We present the case of a 68-year-old diabetic male who presented with back pain and a history of fever and chills. Imaging studies revealed vertebral osteomyelitis of the Th 10/11 region. Transesophageal echocardiography disclosed a vegetation adjacent to the pacemaker lead and blood cultures grew Granulicatella adiacens. A diagnosis of vertebral osteomyelitis and endocarditis due to G. adiacens was made and the patient improved with bed rest and medical treatment alone. Granulicatella ssp. should always be part of the differential diagnosis of fastidious bacteria in vertebral osteomyelitis and endocarditis.
authors.affiliation: Division of Nephrology, University of Hannover School of Medicine, Hannover, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Rosenthal
authors.forename: A
authors.initials: A
authors.lastname: Woywodt
authors.forename: P
authors.initials: P
authors.lastname: Kirschner
authors.forename: H
authors.initials: H
authors.lastname: Haller
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D004697:Endocarditis, Bacterial / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects / Q000382:microbiology; D018570:Risk Assessment; D013166:Spondylitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D013289:Streptococcaceae / Q000302:isolation & purification*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents