[Acute multifocal osteomyelitis caused by haemolytic group B streptococci].
Invasive infections due to group B streptococci (Streptococcus agalactiae) usually occur in the peri- and neonatal setting or in adults with chronic underlying diseases. In the presented case a severe infection of haematogenous osteomyelitis caused by group B streptococci in a previously healthy 68-year-old woman is reported. Group B streptococci were isolated in three of three blood culture bottles drawn from the patient at the time of admission to hospital due to fever of unknown cause and pain in the upper and lower extremities as well as the back. A technetium scan showed involvement of the left shoulder, the left sacroilial joint, Th-9, Th-12 and L5. In addition, there was increased activity in the left foot, the right side of the mandibula and probably both hands (insufficiently scanned). The patient was successfully treated with penicillin G and subsequently with oral penicillin V for a total of 12 weeks.
Amtssygehuset i Roskilde, Geriatrisk Afdeling, Statens Serum Institut. hannepedersen@dadlnet.dk
Hanne
H
Pedersen
Jørgen H
JH
Engberg
Peter S
PS
Oturai
D000208:Acute Disease; D000368:Aged; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D010406:Penicillins / Q000008:administration & dosage; D011877:Radionuclide Imaging; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*
D010406:Penicillins