Tags

Type your tag names separated by a space and hit enter

[Osteoarticular infections caused by Streptococcus agalactiae. Report of 4 cases].
Enferm Infecc Microbiol Clin. 1995 Feb; 13(2):99-103.EI

Abstract

BACKGROUND

Streptococcus agalactiae (group B streptococcus) is a rare etiology of osteoarticular infection in adults. In a literature review (Medline-Embase plus) up until may 1994, we have found only 51 cases. In most patients, diabetes mellitus, liver disease or long-term steroid therapy were documented.

METHODS

Four adult patients with osteoarticular infection due to S. agalactiae from two Galician hospitals were studied from January 1988 to October 1994: prepatellar bursitis (one case), septic monoarthritis (2 cases) and psoas abscess associated to cervical spondylodiscitis and oligoarthritis (left sternoclavicular and left hip joints).

RESULTS

In the first patient, a young woman with prepatellar bursitis, a previous local trauma was recorded. The second case, a man with septic arthritis of right knee, had degenerative disease of the knees and a prostatic adenocarcinoma. In the third patient, a diabetic woman with septic arthritis of the left shoulder, vulvovaginitis due to Candida albicans was found. The last patient suffered vertebral osteomyelitis of the cervical spine (C3-C4), arthritis of the left sternoclavicular and hip joints and abscess of the ipsilateral psoas. The evolution was favourable in the four cases.

CONCLUSIONS

Although uncommon, osteomyelitis and arthritis caused by group B streptococcus should be considered as opportunistic pathogen in adults with debilitating conditions. Early recognition and prompt institution of adequate therapy can help avoid joint destruction and severe complications.

Authors+Show Affiliations

Gómez-Rodríguez N
Servicios de Reumatología, Centro Médico POVISA, Vigo.
Ferreiro JL
No affiliation info available
Willisch A
No affiliation info available
Muñoz-López R
No affiliation info available
Formigo E
No affiliation info available
González-Mediero G
No affiliation info available

MeSH

AdultAgedAged, 80 and overArthritis, InfectiousBursitisCervical VertebraeDiabetes Mellitus, Type 1DiscitisFemaleHip JointHumansImmunocompromised HostKnee InjuriesKnee JointMaleMiddle AgedNeoplasmsOpportunistic InfectionsPsoas AbscessShoulderSpondylitisSternoclavicular JointStreptococcal InfectionsStreptococcus agalactiae

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

7711134

Citation

Gómez-Rodríguez, N, et al. "[Osteoarticular Infections Caused By Streptococcus Agalactiae. Report of 4 Cases]." Enfermedades Infecciosas Y Microbiologia Clinica, vol. 13, no. 2, 1995, pp. 99-103.
Gómez-Rodríguez N, Ferreiro JL, Willisch A, et al. [Osteoarticular infections caused by Streptococcus agalactiae. Report of 4 cases]. Enferm Infecc Microbiol Clin. 1995;13(2):99-103.
Gómez-Rodríguez, N., Ferreiro, J. L., Willisch, A., Muñoz-López, R., Formigo, E., & González-Mediero, G. (1995). [Osteoarticular infections caused by Streptococcus agalactiae. Report of 4 cases]. Enfermedades Infecciosas Y Microbiologia Clinica, 13(2), 99-103.
Gómez-Rodríguez N, et al. [Osteoarticular Infections Caused By Streptococcus Agalactiae. Report of 4 Cases]. Enferm Infecc Microbiol Clin. 1995;13(2):99-103. PubMed PMID: 7711134.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Osteoarticular infections caused by Streptococcus agalactiae. Report of 4 cases]. AU - Gómez-Rodríguez,N, AU - Ferreiro,J L, AU - Willisch,A, AU - Muñoz-López,R, AU - Formigo,E, AU - González-Mediero,G, PY - 1995/2/1/pubmed PY - 1995/2/1/medline PY - 1995/2/1/entrez SP - 99 EP - 103 JF - Enfermedades infecciosas y microbiologia clinica JO - Enferm Infecc Microbiol Clin VL - 13 IS - 2 N2 - BACKGROUND: Streptococcus agalactiae (group B streptococcus) is a rare etiology of osteoarticular infection in adults. In a literature review (Medline-Embase plus) up until may 1994, we have found only 51 cases. In most patients, diabetes mellitus, liver disease or long-term steroid therapy were documented. METHODS: Four adult patients with osteoarticular infection due to S. agalactiae from two Galician hospitals were studied from January 1988 to October 1994: prepatellar bursitis (one case), septic monoarthritis (2 cases) and psoas abscess associated to cervical spondylodiscitis and oligoarthritis (left sternoclavicular and left hip joints). RESULTS: In the first patient, a young woman with prepatellar bursitis, a previous local trauma was recorded. The second case, a man with septic arthritis of right knee, had degenerative disease of the knees and a prostatic adenocarcinoma. In the third patient, a diabetic woman with septic arthritis of the left shoulder, vulvovaginitis due to Candida albicans was found. The last patient suffered vertebral osteomyelitis of the cervical spine (C3-C4), arthritis of the left sternoclavicular and hip joints and abscess of the ipsilateral psoas. The evolution was favourable in the four cases. CONCLUSIONS: Although uncommon, osteomyelitis and arthritis caused by group B streptococcus should be considered as opportunistic pathogen in adults with debilitating conditions. Early recognition and prompt institution of adequate therapy can help avoid joint destruction and severe complications. SN - 0213-005X UR - https://www.unboundmedicine.com/medline/citation/7711134/[Osteoarticular_infections_caused_by_Streptococcus_agalactiae__Report_of_4_cases]_ L2 - https://medlineplus.gov/bursitis.html DB - PRIME DP - Unbound Medicine ER -