Lumbar Vertebral Osteomyelitis with Mycotic Abdominal Aortic Aneurysm Caused by Highly Penicillin-Resistant Streptococcus pneumoniae

Author:

Naktin Jaan1,DeSimone Joseph2

Affiliation:

1. I.D. Care, Inc., Randolph, New Jersey 078691

2. Division of Infectious Diseases, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107,2 and

Abstract

ABSTRACT We present a case of vertebral osteomyelitis with an adjacent abdominal aortic mycotic aneurysm caused by a highly penicillin-resistant Streptococcus pneumoniae strain. The occurrence of all three phenomena in a single patient has not been previously described. This presentation offers the opportunity to reflect on the increasing incidence of S. pneumoniae as a resistant pathogen, the treatment of highly penicillin-resistant S. pneumoniae , and the etiologic agents of both vertebral osteomyelitis and mycotic aneurysm.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference28 articles.

1. Infected abdominal aortic aneurysm due to penicillin-, ceftriaxone-, and cefotaxime-resistant Streptococcus pneumoniae

2. Vertebral osteomyelitis: a diagnostic problem;Ambrose G. B.;JAMA,1966

3. Multidrug-resistant pneumococcus causing vertebral osteomyelitis;Antony S. J.;J. Natl. Med. Assoc.,1997

4. Pyogenic vertebral osteomyelitis of the posterior elements;Babinchak T. J.;Clin. Infect. Dis.,1997

5. Streptococcus pneumonia, an emerging pathogen in mycotic aneurysms?;Brouwer R. E.;Neth. J. Med.,1998

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