pISSN 2093-2340   eISSN 2092-6448
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    Infect Chemother. 2008 Sep-Oct;40(5):288-291. Korean.
    Published online Oct 25, 2008.
    https://doi.org/10.3947/ic.2008.40.5.288
    Copyright © 2008 The Korean Society of Infectious Diseases and The Korean Society for Chemotherapy
    Case Report

    A Case of Vertebral Osteomyelitis with Spinal Epidural Abscess Caused by Streptococcus constellatus

    Hong-Dae Ahn, M.D.,1 Jae Chan Park,1 Jong Goo Seo, M.D.,1 Jin Yong Kim, M.D.,1 Sue-Yun Kim, M.D.,1 Yoon Soo Park, M.D.,1 Yiel-Hae Seo, M.D.,2 and Yong Kyun Cho, M.D.1
      • 1Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Korea.
      • 2Department of Laboratory Medicine, Gachon University, Gil Medical Center, Incheon, Korea.
    • Correspondence: Yoon Soo Park, M.D. Department of Internal Medicine, Gachon University, Gil Medical Center, 1198, Guwol-dong, Namdong-gu, Incheon, 405-760, Korea. Tel: +82-32-460-8431, Fax: +82-32-472-1578, Email: yspark@gilhospital.com
    Received June 23, 2008; Accepted August 11, 2008.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    We report a case of vertebral osteomyelitis with epidural abscess caused by Streptococcus constellatus. The patient was present with fever, back pain, and dyspnea for 1 week. The patient was previously healthy and did not have any predisposing factor. After evaluation, the patient was diagnosed as Streptococcus constellatus vertebral osteomyelitis. He was successfully treated with surgical debridement and antibiotic therapy. To the best of our knowledge, this is the first case of S. constellatus vertebral osteomyeltis with epidural abscess to be reported in Korea.

    Keywords
    Vertebral osteomyelitis; Epidural abscess; Streptococcus constellatus

    Figures

    Figure 1
    MR imaging of vertebral osteomyelitis with epidural abscess at diagnosis. (A) Sagittal T2 weighted image. (B) Transverse T2 weighed image. The images reveal disc space narrowing at L-4/5, with abscess on posterior aspect of L-4,L-5 spine (arrow) with marked compression on dural sac. Central and right paracentral bodies of L-4, L-5 spine are diffusely hyperintense on T2WI without significant contour deformity.

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    MeSH Terms
    Back Pain
    Debridement
    Dyspnea
    Epidural Abscess
    Fever
    Humans
    Korea
    Osteomyelitis
    Streptococcus
    Streptococcus constellatus
    Metrics
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