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

Hong-Dae Ahn; Jae Chan Park; Jong Goo Seo; Jin Yong Kim; Sue-Yun Kim; Yoon Soo Park; Yiel-Hae Seo; Yong Kyun Cho

doi:10.3947/ic.2008.40.5.288

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Ahn, Park, Seo, Kim, Kim, Park, Seo, and Cho: A Case of Vertebral Osteomyelitis with Spinal Epidural Abscess Caused by Streptococcus constellatus

Case Report

Infection and Chemotherapy

Infection and Chemotherapy 2008; 40(5): 288-291.

Published online: 25 October 2008

DOI: https://doi.org/10.3947/ic.2008.40.5.288

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

Hong-Dae Ahn, M.D.¹, Jae Chan Park¹, 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, 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, yspark@gilhospital.com

Received 23 June 2008 Accepted 11 August 2008

(open-access):

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 and Tables

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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