Academic Journal
Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults — a case report and systematic literature review
العنوان: | Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults — a case report and systematic literature review |
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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 |
DOI: | 10.1007/s10096-023-04640-7 |
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