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Group B streptococcal facet joint arthritis: case report
Omer Dizdar1, Evrim Alyamaç, Ibrahim Koral Onal
1Department of Internal Medicine, Hacettepe University School of Medicine, Ankara, Turkey. omerdiz@yahoo.com
Spine
|July 19, 2005
Summary
Group B Streptococcus (Streptococcus agalactiae) can cause infective endocarditis and a rare complication of lumbar facet joint arthritis. Early diagnosis and treatment are crucial for patient recovery.
Area of Science:
- Infectious Diseases
- Rheumatology
- Cardiology
Background:
- Lumbar facet joint arthritis is typically caused by Staphylococcus aureus.
- Streptococcus agalactiae (Group B Streptococcus) commonly causes peripartum infections but rarely infective endocarditis.
- Facet joint arthritis has not been previously reported as a complication of Streptococcus agalactiae infective endocarditis.
Observation:
- A case report details a non-immunocompromised patient with fever and back pain.
- Diagnosis revealed Streptococcus agalactiae bacteremia, mitral valve infective endocarditis, and lumbar facet joint arthritis (L5-S1).
Findings:
- The patient received emergent intravenous antibiotics and underwent mitral valve replacement.
- Complete resolution of symptoms and infection was achieved following treatment.
Implications:
- Facet joint septic arthritis should be considered in patients with fever and back pain.
- Streptococcus agalactiae is a potential pathogen in these cases.
- Prompt antibiotic treatment and monitoring for complications are essential for managing this life-threatening infection.