Vertebral osteomyelitis combined streptococcal viridans endocarditis

Abstract

Endocarditis may be difficult to diagnose in patients with osteomyelitis in an early stage because they usually are treated for fever, bone pain and stiffness in the outpatient department. Herein we report an uncommon patient who developed severe lower back pain sustained for 2 months, and streptococcal viridans infected vertebral osteomyelitis combined endocarditis were diagnosed and cured.

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

“…In our patient the source of infection is likely to have stemmed from haematogenous spread of the organism from dental work the patient received prior to developing back pain. In this case, it is difficult to establish whether the osteomyelitis preceded infective endocarditis a problem which has been noted in previous similar case reports [6,2]. …”

“…Osteomyelitis is a serious and debilitating condition of which 6% of cases are associated with infective endocarditis, a disease which can have life threatening consequences [1]. Both conditions are thought to develop following spread of a bacteraemic focus via the haematogenous route [2]. This report highlights the case of a patient who presented with back pain and fever following a visit to a dentist to receive minor dental treatment.…”

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

“…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.…”

“…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.…”

Infective endocarditis complicated by aortic graft infection and osteomyelitis: case report and review of literature

“…Osteomyelitis is believed to occur in only 2%–6% of cases of IE and is more common in IV drug abusers 7. The most common identifiable primary sources of this complication are the genitourinary tract (29%), followed by soft tissue infection (13%) and upper respiratory tract infection (11%) 7. Isolated osteomyelitis is caused by S. aureus in 60%–90% of cases and by Staphylococcus epidermidis in 30%.…”