Iliac osteomyelitis and gluteal muscle abscess caused by Streptococcus intermedius

Calza, Leonardo; Manfredi, Roberto; Briganti, Elisabetta; Attard, Luciano; Chiodo, Francesco

doi:10.1099/0022-1317-50-5-480

Cited by 19 publications

(15 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The enrichment in broth media was used to detect only few bacterial cells in the sample. The types of bacterial species found in our study were in agreement with the other previous reports (Braden 1991;Braden et al 1989;Calza et al 2001;Caren ti-Etesse et al 1999;Caywood 1983;Caywood et al 1978;Costerton and Marrie 1985;Fitzgerald 1983;Fitzgerald et al 1992;Griffiths and Bellenger 1979;Harrari 1984;Johnson 1994;Lew and Waldvogel 1997;Smith et al 1978). Since P. aeruginosa was frequently found in our study, we assumed that it was the main nosocomial pathogen in our operating theatre.…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Posttraumatic Bacterial Infections in Extremities before and after Osteosynthesis in Small Animals

Soontornvipart¹,

Nečas²,

Dvořák³

et al. 2003

Acta Vet. Brno

View full text Add to dashboard Cite

Posttraumatic osteomyelitis is one of the most serious complications after fracture treatment. Even though first-generation cephalosporins are always recommended as the first choice of antibiotic prophylaxis in orthopaedic surgery, they cannot eradicate all bacteria, which can enter into the fractured bone during orthopaedic procedures.The purpose of this study was to identify bacteria cultured from surgical wounds during osteosynthesis in order to select properly suitable antibiotic prophylaxis in our clinical practice. Our study was performed on 60 patients with long bone fractures operated at the Department of Surgery and Orthopaedics, Small Animal Clinic, University of Veterinary and Pharmaceutical Sciences, Brno. The patients without an antibiotic treatment 24 hours prior to surgery were included in the study. Samples for bacterial culture were collected before and after internal fixation of the fracture. Several factors possibly influencing the risk of infection were evaluated. Patients with severe degree of soft tissue damage and with open fractures were at higher risk of infection before osteosynthesis, whereas the patients younger than one year, with positive cultures before surgery, with plate and screw fixations, with primary bone healing, with abnormal radiographic findings and intramuscularly anesthetized patients were at a significantly higher risk of bacterial infection after the fracture fixation. A high percentage of the bacterial isolates was Pseudomonas aeruginosa resistent to cephalosporins. Although we use cephalosporins prophylactically in all patients undergoing orthopaedic surgery in our clinic, the incidence of postoperative infections was very low. Therefore, it is obvious that the use of cephalosporins as preoperative prophylaxis is sufficient in most cases. In the patients at high risk of osteomyelitis development (polytraumatized or immunosuppressed patients, patients receiving prosthetic joint or large metallic implants), or in the patients where the infection is already present, it is important to know hospital-specific pathogens to select adequate complementary antibiotics (in our case we use cephalosporines together with quinolones such as enrofloxain). This emphasizes the need of epidemiologic studies, specific for each clinic.

show abstract

Section: Discussionsupporting

confidence: 93%

“…and Klebsiella spp. (Hirsch and Smith 1978 (Calza et al 2001) and also Pseudomonas aeruginosa (Carsenti-Etesse et al 1999, Greenberg et al 2000, Calza et al 2001, S hirliff et al 2002.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Bacterial Infections in Extremities before and after Osteosynthesis in Small Animals

Soontornvipart¹,

Nečas²,

Dvořák³

et al. 2003

Acta Vet. Brno

View full text Add to dashboard Cite

show abstract

“…Streptococcus anginosus, S. constellatus, and S. intermedius are commonly referred to as the ''Streptococcus milleri group'', or SMG [19][20][21]. The SMG are known to cause invasive pyogenic muscle infections [22]. Interestingly, this characteristic is more common for S. intermedius and S. constellatus, but only 19% of S. anginosus infections were associated with an abscess [19].…”

Section: Discussionmentioning

confidence: 99%

Streptococcus anginosus (Streptococcus milleri Group) Pyomyositis in a 50-Year-Old Man with Acquired Immunodeficiency Syndrome: Case Report and Review of Literature

2009

View full text Add to dashboard Cite

We describe the first reported case of bacterial pyomyositis of the right thigh caused by Streptococcus anginosus (S. milleri group) in an HIV-infected patient. The clinical presentation was complicated by multiple ring-enhancing lesions detected on magnetic resonance imaging of the brain. Evaluation for central nervous system toxoplasmosis,syphilis, and cryptococcal infection was negative. Aggressive antibiotic therapy directed against S. anginosus and surgical debridement were limb salvaging. Clinicians should considerS. anginosus as a causative pathogen in HIV-associated pyomyositis, particularly in complex presentations. Prompt surgical drainage may minimize complications due to S. anginosus, a pathogen associated with significant sequelae due to its invasive nature.

show abstract

“…The paediatric4 5 and adult literature6 have elucidated the rare finding of anginosus streptococci as an agent of cranial osteomyelitis due to abscess extension from the paranasal sinuses while other literature has documented the occurrence of mandibular osteomyelitis related to contiguous spread from an oral abscess 7. As a sequela of haematogenous dissemination, S anginosus group pathogens have been discovered occasionally to infect the cervical8 and lumbar spines9 10 as well as the iliac11 and femur bones 12. Finally, isolated cases of contiguous osteomyelitis in the setting of prosthetic material13 14 and a diabetic foot infection15 have been described.…”

Section: Introductionmentioning

confidence: 99%

Streptococcus anginosusgroup and osteomyelitis: a single centre clinical experience

Griffin

Timbrook

Harting

et al. 2013

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

Iliac osteomyelitis and gluteal muscle abscess caused by Streptococcus intermedius

Cited by 19 publications

References 9 publications

Posttraumatic Bacterial Infections in Extremities before and after Osteosynthesis in Small Animals

Posttraumatic Bacterial Infections in Extremities before and after Osteosynthesis in Small Animals

Streptococcus anginosus (Streptococcus milleri Group) Pyomyositis in a 50-Year-Old Man with Acquired Immunodeficiency Syndrome: Case Report and Review of Literature

Streptococcus anginosusgroup and osteomyelitis: a single centre clinical experience

Contact Info

Product

Resources

About