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Streptococcus Constellatus Spondylodiscitis in a Teenager: A Case Report
S W Lim1, H Y Lim1, T Kannaiah1
1Department of Orthopaedics, Hospital Sungai Buloh, Sungai Buloh, Malaysia.
Malaysian Orthopaedic Journal
|January 13, 2018
Summary
Pyogenic spondylodiscitis caused by Streptococcus constellatus is rare, especially in teenagers. This case highlights early diagnosis and antibiotic treatment for full recovery in a 14-year-old male.
Area of Science:
- Infectious Diseases
- Orthopedics
- Microbiology
Background:
- Pyogenic spondylodiscitis is a serious spinal infection.
- Streptococcus constellatus is an uncommon pathogen in spondylodiscitis.
- Cases in adolescents are exceptionally rare.
Observation:
- A 14-year-old male presented with a year of worsening low back pain.
- Imaging revealed L4-L5 spondylodiscitis.
- CT-guided biopsy identified Streptococcus constellatus.
Findings:
- The isolated Streptococcus constellatus strain was sensitive to penicillin and erythromycin.
- The patient received six weeks of intravenous antibiotics.
- Full recovery was achieved without neurological deficit.
Implications:
- This case underscores the importance of considering rare pathogens in adolescent spondylodiscitis.
- Early diagnosis through imaging and biopsy is crucial.
- Prompt antibiotic therapy ensures favorable outcomes and prevents neurological complications.
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