title: [A case of association of atypical localisations of Streptococcus pneumoniae].
abstract: Streptococcus pneumoniae can be responsible for spinal, joints, pulmonary or infrequently cutaneous septic localisations. The association between different septic localisation is extremely rare with this microorganism. We describe the first case of concomitant spinal, joints and cutaneous septic localisations in a critically ill patient with S. pneumoniae septicaemia. This observation illustrates that heterogeneity of clinical features depends on the pathogen characteristic and its interaction with the host.
authors.affiliation: Service de réanimation médicale, hôpital Cochin, 27, rue du faubourg Saint-Jacques, 75679 Paris cedex 14, France.
authors.forename: H
authors.initials: H
authors.lastname: Quintard
authors.forename: F
authors.initials: F
authors.lastname: Pène
authors.forename: C
authors.initials: C
authors.lastname: Ginsburg
authors.forename: C
authors.initials: C
authors.lastname: Goulenok
authors.forename: A
authors.initials: A
authors.lastname: Cariou
authors.forename: J-P
authors.initials: JP
authors.lastname: Grivois
authors.forename: Y-E
authors.initials: YE
authors.lastname: Claessens
mesh_terms: D016638:Critical Illness; D006801:Humans; D007596:Joints / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000473:pathology*; D018805:Sepsis / Q000150:complications*; D017192:Skin Diseases, Bacterial / Q000382:microbiology / Q000473:pathology; D013131:Spine / Q000382:microbiology / Q000473:pathology; D013296:Streptococcus pneumoniae / Q000302:isolation & purification / Q000472:pathogenicity*