Related Experiment Videos
Septic Streptococcus milleri spondylodiscitis
E Meyes1, R M Flipo, B Van Bosterhaut
1Rhumatologie Service Hôpital de la Chariè, Lille, France.
Abstract:
We describe 2 patients presenting lumbar spondylitis due to Streptococcus milleri. In both cases origin was related to preexistent intestinal pathology. Surgical drainage of a collection of pus was necessary in one case. Longterm antibiotic therapy led to full recovery. Despite confused nomenclature Streptococcus milleri must be considered a serious pathogen mainly associated with purulent infection with osteoarticular affinity.
Insights
Streptococcus milleri can cause serious lumbar spondylitis, often linked to intestinal issues. Prompt antibiotic treatment and surgery, if needed, can lead to full recovery from this purulent infection.
Area of Science:
- Infectious Diseases
- Orthopedics
- Microbiology
Background:
- Lumbar spondylitis is a serious spinal infection.
- Streptococcus milleri is a bacterium with a complex taxonomy.
- Osteoarticular infections require prompt diagnosis and management.
Observation:
- Two patients presented with lumbar spondylitis attributed to Streptococcus milleri.
- Both cases had a history of pre-existing intestinal pathology.
- One patient required surgical intervention for a purulent collection.
Findings:
- Streptococcus milleri was identified as the causative agent in lumbar spondylitis.
- Intestinal pathology was a significant predisposing factor.
- Long-term antibiotic therapy resulted in complete recovery for both patients.
Implications:
- Streptococcus milleri should be recognized as a significant pathogen in purulent infections, particularly those affecting bones and joints.
- Understanding the link between intestinal pathology and Streptococcus milleri osteomyelitis is crucial for early detection.
- This highlights the importance of considering less common bacteria in spinal infections and managing underlying conditions.