| Literature DB >> 27268493 |
Salik Nazir1, Saroj Lohani1, Niranjan Tachamo1, Priya Rajagopalan1.
Abstract
Vertebral osteomyelitis due to Streptococcus viridans following a dental procedure is a rarely reported phenomenon. We discuss the case of a 67-year-old immunocompetent woman who presented with low back pain of 3 weeks duration associated with subjective fever and chills. On admission, the MRI of the lumbar spine showed L5-S1 vertebral osteomyelitis with associated paravertebral and epidural abscesses. Subsequently, detailed history was retaken and the patient reported having had a maxillary tooth extraction followed by a dental implant 2 months prior to the onset of her symptoms. Blood and abscess fluid cultures grew S. viridans Transthoracic echocardiogram showed no evidence of endocarditis. The patient was started on intravenous ceftriaxone but her treatment course was complicated by agranulocytosis requiring a switch to vancomycin. She required a total of 9 weeks of intravenous antibiotics for complete clinical cure. 2016 BMJ Publishing Group Ltd.Entities:
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Year: 2016 PMID： 27268493 PMCID： PMC4904437 DOI： 10.1136/bcr-2016-216087
Source DB: PubMed Journal: BMJ Case Rep ISSN： 1757-790X