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Intervertebral infection caused by Streptococcus milleri. A case report
J A Jacobs1, H G Pietersen, G H Walenkamp
1Department of Medical Microbiology, University Hospital Maastricht, The Netherlands.
Clinical Orthopaedics and Related Research
|May 1, 1994
Summary
Intervertebral disc infection caused by Streptococcus milleri can be misdiagnosed as tuberculosis, delaying treatment. Prompt diagnosis and combined medical-surgical care led to a patient
Area of Science:
- Infectious Diseases
- Spinal Infections
- Microbiology
Background:
- Streptococcus milleri is a common bacterium in the gastrointestinal tract.
- It can cause deep-seated purulent infections.
- Intervertebral disc infections are serious spinal conditions.
Observation:
- A 45-year-old man presented with an intervertebral infection.
- Tuberculosis was initially suspected, leading to diagnostic delays.
- The patient was ultimately diagnosed with Streptococcus milleri infection.
Findings:
- Streptococcus milleri can be a causative agent of intervertebral disc infections.
- Combined medical and surgical treatment resulted in patient recovery.
- Early and accurate diagnosis is crucial for effective treatment.
Implications:
- Highlights the importance of considering less common pathogens in spinal infections.
- Emphasizes the need for differential diagnosis to avoid treatment delays.
- Suggests Streptococcus milleri as a potential pathogen in spinal infections.