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Aggressive Pyogenic Spondylitis Caused by S. constellatus: A Case Report
Nenad Koruga1,2, Alen Rončević1,2, Anamarija Soldo Koruga2,3
1Department of Neurosurgery, University Hospital Center Osijek, 31000 Osijek, Croatia.
Diagnostics (Basel, Switzerland)
|November 11, 2022
Summary
Streptococcus constellatus, an opportunistic pathogen, can cause paravertebral abscesses presenting as radiculopathy. Successful treatment involved abscess drainage and antibiotics, leading to full symptom resolution.
Area of Science:
- Infectious Diseases
- Microbiology
- Neurology
Background:
- Streptococcus constellatus (SC) is part of the Streptococcus anginosus group, typically commensal but can cause infections.
- SC infections are often linked to bacteremia, with rare reports of abscesses or empyema.
Observation:
- A middle-aged female presented with radiculopathy symptoms.
- Neurologic imaging identified a pyogenic paravertebral muscle abscess.
Findings:
- The abscess was caused by Streptococcus constellatus (SC).
- The patient underwent successful lumbar abscess drainage and antibiotic therapy.
Implications:
- This case highlights SC as a cause of spinal epidural abscesses presenting with radiculopathy.
- Prompt diagnosis and treatment are crucial for favorable outcomes in SC-related spinal infections.
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