title: [A case of acute septic osteomyelitis onset due to Streptococcus dysgalactiae subsp. equisimilis in an elderly diabetic patient].
abstract: Group C streptococci are increasingly causing invasive infections such as that we report here. A 70-year-old man being treated for diabetes and seen at the emergency room for neck pain and fever was hospitalized for possible sepsis. His temperature was 39.8 degrees C, regular pulse 101 bpm, and pain reinforced in flexing and cervical rotation. Streptococcus dysgalactiae subsp. equisimilis (SDSE) was cultured from blood. Neck pain gradually decreased with of 2 million units PCG 6 times/day. Magnetic resonance imaging (MRI) of the cervical spine showed high-intensity areas in fat-suppression imaging at C7, Thl and intervertebral disks plus enhancement around the vertebral body, yielding a diagnosis of cervicothoracic vertebral osteomyelitis. Antimicrobial intravenous therapy continuede 6 weeks. The man was discharged after 45 days without relapse.
authors: Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine.
authors: Keito
authors: K
authors: Torikai
authors: Yukitaka
authors: Y
authors: Yamasaki
authors: Takaaki
authors: T
authors: Nemoto
authors: Osamu
authors: O
authors: Ishii
authors: Taeko
authors: T
authors: Takagi
authors: Hiromu
authors: H
authors: Takemura
authors: Takahide
authors: T
authors: Matsuda
mesh_terms: D000208:Acute Disease; D000368:Aged; D002574:Cervical Vertebrae; D048909:Diabetes Complications; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000382:microbiology*; D013291:Streptococcus / Q000302:isolation & purification; D013904:Thoracic Vertebrae