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Sternal osteomyelitis with a mediastinal abscess caused by Gemella morbillorum following blunt force trauma
Jin Young Ann1, Jae-Cheol Kwon, Je Eun Song
1Department of Internal Medicine, Yonsei University College of Medicine, Korea.
Abstract:
Infections caused by Gemella morbillorum are uncommon. This organism is primarily associated with endocarditis and bacteremia and rarely with spondylodiscitis, arthritis, hepatic abscesses and meningitis. Sternal osteomyelitis caused by G. morbillorum has not yet been reported. We herein present a case of sternal osteomyelitis with a mediastinal abscess caused by G. morbillorum that occurred in a 74-year-old diabetic patient following blunt force trauma to the anterior chest wall. The patient was treated successfully with surgical excision and prolonged antibiotic treatment. Early recognition and timely intervention are important for managing life-threatening osteomyelitis of the sternum.
Insights
Gemella morbillorum infections are rare. This case highlights sternal osteomyelitis and mediastinal abscess caused by this bacterium in a diabetic patient after chest trauma, successfully treated with surgery and antibiotics.
Area of Science:
- Infectious Diseases
- Osteomyelitis
- Medical Case Reports
Background:
- Gemella morbillorum is an uncommon pathogen, typically causing endocarditis and bacteremia.
- Reported infections include spondylodiscitis, arthritis, hepatic abscesses, and meningitis, but not sternal osteomyelitis.
- Sternal osteomyelitis is a rare but serious infection of the breastbone.
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