Academic Journal

Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults — a case report and systematic literature review

التفاصيل البيبلوغرافية
العنوان: Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults — a case report and systematic literature review
المؤلفون: Brunink, Elyne M., Hoogervorst, Lotje A., Steentjes, Koen, Broekhuis, Demien, de Boer, Mark G. J.
المصدر: European Journal of Clinical Microbiology & Infectious Diseases ; volume 42, issue 9, page 1055-1061 ; ISSN 0934-9723 1435-4373
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
الوصف: Hematogenous osteomyelitis caused by Streptococcus intermedius is rare, particularly in immunocompetent adults. The aim of this paper is to provide an overview of the clinical presentation, prognosis as well as treatment of this disease, with the focus on immunocompetent adults. Six medical literature libraries were searched to identify studies reporting on Streptococcus intermedius induced hematogenous osteomyelitis in immunocompetent adults. In addition, we presented a case of a 44-year-old man from our institution that is illustrative for this disease. Four case reports describing four patients were identified by this systematic literature review. Hence, the data of five patients (including our case) were assessed. The most common presenting symptom was localised pain, followed by fever. Portal entries were found in two patients (general periodontitis and necrotic dentition). The localisations of osteomyelitis were diverse: femoral (two patients), lumbar spine (two patients), and the iliac bone (one patient). Treatment strategies varied strongly, but antibiotics (penicillins) were administered in each case, and two patients underwent surgical debridement. Follow-up ranged from 2 weeks to more than 6 months; one patient died from septic shock. Only a very limited number of immunocompetent adults with Streptococcus intermedius induced hematogenous osteomyelitis have been described. Based on the available data, we summarised the clinical presentation, prognosis as well as treatment of hematogenous osteomyelitis caused by Streptococcus intermedius in this patient population.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1007/s10096-023-04640-7
DOI: 10.1007/s10096-023-04640-7.pdf
DOI: 10.1007/s10096-023-04640-7/fulltext.html
الاتاحة: http://dx.doi.org/10.1007/s10096-023-04640-7
https://link.springer.com/content/pdf/10.1007/s10096-023-04640-7.pdf
https://link.springer.com/article/10.1007/s10096-023-04640-7/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
رقم الانضمام: edsbas.D762505C
قاعدة البيانات: BASE
الوصف
DOI:10.1007/s10096-023-04640-7