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Destructive osteomyelitis involving Parvimonas micra and Campylobacter rectus
Amos Aranowicz1, Stephanie L van den Brandt1, Ksenija Slankamenac2
1Emergency Department, University Hospital Zurich, Zurich, Switzerland.
Abstract:
We present a rare case of destructive osteomyelitis of the sternum caused by Parvimonas micra and Campylobacter rectus A previously healthy female patient in her 40s presented to the emergency department due to a spontaneous rupture of an abscess located to the chest wall. Imaging confirmed abscess formation with osteomyelitis of the sternum. Emergent surgical debridement was performed, blood and bone cultures were taken and the patient received antibiotic treatment. Cultures of the bone and deep tissue revealed infection with Parvimonas micra and Campylobacter rectus, both being members of the oral flora and associated with chronic periodontitis. Receiving targeted antibiotic treatment, our patient made a quick recovery. After treatment of the osteomyelitis, our patient was referred to the dentist where chronic periodontitis could be confirmed. Invasive infections with Parvimonas micra and Campylobacter rectus are rare. Investigation of a dental origin is crucial to prevent recurrent infections.
Insights
This case report details a rare sternal osteomyelitis caused by oral bacteria Parvimonas micra and Campylobacter rectus. Prompt diagnosis and targeted antibiotics led to a successful recovery.
Area of Science:
- Infectious Diseases
- Oral Microbiology
- Surgical Pathology
Background:
- Osteomyelitis, particularly of the sternum, is a serious infection.
- Invasive infections by oral flora, such as Parvimonas micra and Campylobacter rectus, are uncommon.
- Chronic periodontitis is a known risk factor for oral bacteria dissemination.
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