[Vertebral osteomyelitis due to Streptococcus agalactiae ST-17].
Streptococcus agalactiae has been traditionally considered as associated with neonates and pregnant women. Invasive diseases due to Streptococcus agalactiae are increasing in non-pregnant adults, especially with medical underlying conditions such as diabetes mellitus or neoplasia. Among these invasive manifestations, vertebral osteomyelitis remain exceptional. We report the case of a 49 year old man, without any risk factor, suffering from a vertebral osteomyelitis due to Streptococcus agalactiae. Assessment of virulence factors showed that the strain belonged to the serotype III, sequence type ST-17. The patient recovered well after prolonged antibiotic therapy. Although exceptional and associated with a favourable outcome, this case highlights the potential implication of Group B Streptococcus in vertebral osteomyelitis and the way to manage it.
Martinaud
C
C
Laboratoire de biologie, Hôpital d'instruction des armées Sainte-Anne, Toulon. martinaud_christophe@yahoo.fr
Gaillard
T
T
Graffin
B
B
Muzellec
Y
Y
Brisou
P
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001772:Blood Cell Count; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D013122:Spinal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013292:Streptococcus agalactiae / Q000145:classification / Q000302:isolation & purification
D000900:Anti-Bacterial Agents