[Vertebral osteomyelitis caused by Streptococcus agalactiae in healthy adults. Description of 2 new cases].
The importance of Streptococcus agalactiae as a pathogen in nonpregnant adults has been widely recognized in recent years, especially in the elderly or immunocompromised patients. Two cases of vertebral osteomyelitis caused by S. agalactiae in young patients with no known underlying diseases or predisposing factor to infection are reported. A systematic review of the literature (MEDLINE, 1976-May 2008) was performed, 10 cases previously reported in the literature of vertebral osteomyelitis due to S. agalactiae being found in adults under 65 years of age with no predisposing risk factors for infection, most of which have been reported over the last 10 years. We believe that this microbial etiology should be considered in patients of any age and immunological status. Other factors, other than increasing the number of patients with chronic diseases, explaining the increased rate of S. agalactiae infections in adults need to be studied.
Rivero Marcotegui
M
M
Sección de Medicina Interna, Clínica Ubarmin, Elcano, Navarra, Spain. mriverom@cfnavarra.es
Hidalgo Ovejero
A
A
Lecumberri
M Cía
MC
Otermin Maya
I
I
Pereda García
A
A
D000328:Adult; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology*; D013166:Spondylitis / Q000175:diagnosis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis; D013292:Streptococcus agalactiae