Streptococcus viridans osteomyelitis and endocarditis following dental treatment: a case report

Choudhury, M.; Patel, Brijesh R; Patel, Mrinali; Bashir, Tariq

doi:10.4076/1757-1626-2-6857

Cited by 9 publications

(10 citation statements)

References 6 publications

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“…This leads to a delay in diagnosis, with the potential for increased morbidity and worse neurological outcomes. Cases of infective endocarditis associated with VO due to S. viridans following dental work have been reported in the literature 4 5. To the best of our knowledge, this is the first reported case of isolated VO with epidural abscess due to S. viridans following a dental procedure.…”

Section: Introductionmentioning

confidence: 83%

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Low back pain after a dental procedure: a case ofStreptococcus viridansvertebral osteomyelitis

et al. 2016

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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.

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Section: Introductionmentioning

confidence: 83%

“…Cases of VO and concomitant infective endocarditis due to S. viridans following dental procedures have been reported 4 5. In the two reported cases, patients had TTE evidence of mitral valve vegetation with associated mitral regurgitation.…”

Section: Discussionmentioning

confidence: 99%

Low back pain after a dental procedure: a case ofStreptococcus viridansvertebral osteomyelitis

et al. 2016

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“…Most cases of viridans vertebral osteomyelitis have been associated with endocarditis [13], [14], [15], [16]. However, very few studies report vertebral osteomyelitis caused by viridans streptococci in the absence of infective endocarditis [17], [18].…”

Section: Discussionmentioning

confidence: 99%

Clinical case report: discitis osteomyelitis complicated by inferior vena cava venous thrombosis and septic pulmonary emboli

Farooq

Devenney-Cakir

2016

Radiology Case Reports

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Viridans group streptococcus is an infrequent cause of osteomyelitis that is found in association with infective endocarditis. Only a few studies report viridans osteomyelitis in the absence of endocarditis. Vertebral pyogenic osteomyelitis can sometimes be complicated by psoas or paraspinal abscesses. These intra-abdominal and/or pelvic collections can very rarely result in venous thrombosis. A paraspinal abscess resulting in inferior vena cava (IVC) thrombosis has only been reported once in the literature. We report a case of a young female with a history of polysubstance abuse and chronic back pain, who was found to have extensive vertebral osteomyelitis and discitis with epidural, paraspinal, and psoas abscesses caused by viridans streptococci. These abscesses compressed on the IVC causing IVC thrombophlebitis extending to the iliac veins distally. Imaging also demonstrated multifocal bilateral septic pulmonary emboli and pleural effusions secondary to septic IVC thrombus; a transesophageal echocardiogram showed no evidence of infective endocarditis.

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“…However, some uncommon signs and symptoms include chronic epigastric pain, lymphadenopathy, gait disturbances, and chest pain [5, 6]. Vertebral osteomyelitis has also been associated with illnesses such as subacute endocarditis, diffuse idiopathic skeletal hyperostosis, empyema, and pyomyositis, all of which can make its diagnosis more difficult and delayed [7–9]. A literature search provided four cases of vertebral osteomyelitis presenting with associated chest pain [10–13].…”

Section: Discussionmentioning

confidence: 99%

Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

Landa

Giddings

Reddy

2013

Case Reports in Medicine

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We present a case of vertebral osteomyelitis presenting as chest pain. The patient initially underwent a CT chest angiogram to rule out a pulmonary embolism, which incidentally showed a soft tissue vertebral mass at T3-T4 disk space. Subsequent thoracic vertebral MRI was consistent with osteomyelitis with cord compression. Tissue culture from a CT-guided biopsy grew MRSA. The patient was successfully treated with Vancomycin. This is a rare presentation of vertebral osteomyelitis which poses an interesting diagnostic challenge.

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Streptococcus viridans osteomyelitis and endocarditis following dental treatment: a case report

Cited by 9 publications

References 6 publications

Low back pain after a dental procedure: a case ofStreptococcus viridansvertebral osteomyelitis

Low back pain after a dental procedure: a case ofStreptococcus viridansvertebral osteomyelitis

Clinical case report: discitis osteomyelitis complicated by inferior vena cava venous thrombosis and septic pulmonary emboli

Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

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