Only Spondylodiscitis? A Clinical Case of Multiple Septic Embolization (Case Report)
Affiliation(s)
1Department of Immunoallergology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
2Department of Internal Medicine, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
3Department of Infectious Diseases, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
ABSTRACT
Background: Spondylodiscitis and spinal epidural abscesses are rare pathologic entities, but increasing in incidence. Group G beta hemolytic Streptococcus has been recently described associated with human infections. They often present clinically in a non-specific fashion, a fact which can lead to diagnostic delay, with serious consequences for the patient. Case Report: An 80-year-old man was admitted to the hospital with complaints of fever for three days, dysuria, hematuria, and back pain. Both septic embolizations and spondylodiscitis due to Group G beta hemolytic Streptococcus were detected. The patient was successfully treated with intravenous penicillin G for eight weeks, followed by oral amoxicillin for five months. Discussion: In all patients with spondylodiscitis, infective endocarditis should be considered, particularly in patients with heart valve disease history, since spondylodiscitis may be the presenting sign of an infective endocarditis. A high level of suspicion is therefore necessary in order correctly diagnose such entities as quickly as possible. The present case illustrates the pathogenic potential of group G streptococci in spondylodiscitis and native valve endocarditis.
Share and Cite:
Aguiar, R. , Gomes, M. , Bento Guerreiro, E. , Marques, T. and Santos, C. (2016) Only Spondylodiscitis? A Clinical Case of Multiple Septic Embolization.
Case Reports in Clinical Medicine,
5, 353-357. doi:
10.4236/crcm.2016.510054.
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