Intervertebral infection caused by Streptococcus milleri. A case report.

Jacobs, J A; Pietersen, H G; Walenkamp, G H; Stobberingh, E E; Soeters, P B · Clin Orthop Relat Res · 1994

case_report · Level V

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Abstract

Intervertebral infection caused by Streptococcus milleri is described in a 45-year-old man. Initially, a tuberculous infection was suspected; this diagnosis resulted in a considerable delay in correct diagnosis and treatment. The patient recovered well with combined medical-surgical treatment. Streptococcus milleri, a common inhabitant of the gastrointestinal tract, comprises a variety of strains implicated in deep-seated purulent infections. Although reports of this are rare, S. milleri can be the offending organism in intervertebral disk infections.

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