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J Med Microbiol 54 (2005), 1103-1105; DOI: 10.1099/jmm.0.46061-0
© 2005 Society for General Microbiology
ISSN 0022-2615

Three cases of vertebral osteomyelitis caused by Streptococcus dysgalactiae subsp. equisimilis

Aravind Kumar1, Jonathan Sandoe2 and Naresh Kumar1

1Department of Orthopaedics, Royal Wolverhampton Hospital NHS Trust, Wolverhampton WV10 0QP, UK 2Department of Microbiology, Leeds General Infirmary, Great George's Street, Leeds LS2 9JT, UK

Correspondence Naresh Kumar naresh{at}doctors.org.uk

Received February 27, 2005
Accepted June 23, 2005

Three cases of vertebral osteomyelitis caused by Streptococcus dysgalactiae subsp. equisimilis (Strep. equisimilis) are presented here. All three cases presented with fever, back pain, general malaise and weight loss for at least 4 weeks. Diagnosis was established by culture of a spinal biopsy and/or positive blood cultures together with radiological findings. In all three cases, 6–12 weeks of antibiotics were curative without recourse to surgery. The ability of Strep. equisimilis to cause vertebral osteomyelitis is highlighted. The need is emphasized for biopsy and microbiological investigation in patients presenting with back pain, fever, weight loss and evidence of a spinal lesion on imaging, even if neoplastic disease is suspected. Prolonged antibiotic therapy (at least 6 weeks) seems to be indicated.

Abbreviations: CRP, C-reactive protein; WCC, white cell count; VO, vertebral osteomyelitis.




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F. Lestin, S. Mann, and A. Podbielski
Spondylodiscitis and paraspinal abscess caused by {beta}-haemolytic group G streptococci spreading from infected leg ulcers
J. Med. Microbiol., September 1, 2008; 57(9): 1157 - 1160.
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