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[Septic arthritis due to Streptococcus bovis].
J Calderón1, M E Peiró, E Peñalver
1Unidad de Reumatología, Hospital General Virgen de la Luz, Cuenca.
Medicina Clinica
|February 1, 1992
Summary
Streptococcus bovis can cause septic arthritis, even without endocarditis or gastrointestinal issues. This case shows effective treatment with penicillin G, preserving joint function.
Area of Science:
- Infectious Diseases
- Rheumatology
- Microbiology
Background:
- Streptococcus bovis is a known pathogen associated with endocarditis and gastrointestinal neoplasms.
- Septic arthritis caused by Streptococcus bovis has not been previously documented.
Observation:
- A 47-year-old male presented with right shoulder arthritis and spondylodiscitis.
- Infectious agent identified as Streptococcus bovis.
- Diagnostic workup excluded endocarditis and gastrointestinal neoplasm.
Findings:
- The patient experienced a favorable outcome with high-dose penicillin G treatment.
- No surgical drainage was required.
- No destructive lesions were observed in the shoulder joint despite prolonged illness.
Implications:
- Hematogenous Streptococcus bovis infections, including septic arthritis, can occur in patients without underlying gastrointestinal disease or endocarditis.
- These infections may lead to minimal skeletal damage.
- Conventional penicillin G treatment appears effective for Streptococcus bovis septic arthritis.