Infect Chemother.  2008 Oct;40(5):288-291. 10.3947/ic.2008.40.5.288.

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

• Ahn HD
• Park JC
• Seo JG
• Kim JY
• Kim SY
• Park YS
• Seo YH
• Cho YK

• KMID: 2285055
• DOI: http://doi.org/10.3947/ic.2008.40.5.288

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.

Keyword

Vertebral osteomyelitis; Epidural abscess; Streptococcus constellatus

MeSH Terms

Back Pain
Debridement
Dyspnea
Epidural Abscess
Fever
Humans
Korea
Osteomyelitis
Streptococcus
Streptococcus constellatus

Figure

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  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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