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Streptococcus pneumoniae endocarditis presenting as an epidural abscess.

R Clark1, J T Carlisle, G T Valainis

  • 1Infectious Diseases Section, Tulane University Medical School, New Orleans, Louisiana 70112.

Reviews of Infectious Diseases
|March 1, 1989
PubMed
Summary

Streptococcus pneumoniae rarely causes spinal epidural abscesses and infective endocarditis. This case highlights the importance of suspecting endocarditis in bacteremic pneumococcal illness, especially with back pain, to identify potential epidural abscesses.

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Clinical Medicine

Background:

  • Streptococcus pneumoniae is a common cause of pneumonia, sinusitis, and meningitis.
  • Pneumococcal infective endocarditis and spinal epidural abscesses are rare complications.

Observation:

  • This report details a patient with pneumococcal infection initially presenting as an acute epidural abscess.
  • The patient was later diagnosed with concurrent infective endocarditis.

Findings:

  • Streptococcus pneumoniae was successfully cultured from both blood and abscess samples.
  • This case underscores the association between bacteremic pneumococcal illness and serious complications.

Implications:

  • High clinical suspicion for endocarditis is crucial in all bacteremic pneumococcal infections.

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  • Patients with pneumococcal bacteremia and back pain require thorough evaluation for epidural abscesses.
  • Prompt diagnosis and treatment of these rare but severe conditions are vital.