Chronic Disseminated Infection of Streptococcus agalactiae in an Immunocompetent Patient
Tananun Tanpaibule M.D., Sasisopin Kiertiburanakul M.D., M.H.S.
ABSTRACT
Streptococcal agalactiae has emerged
as an important cause of invasive bacterial infection among adults,
particularly in those who are elderly or diabetic. We describe a case of a 72-year-old, previously healthy woman, who
presented with chronic disseminated infection of right hip, vertebral
spondylodiscitis with compressive myelopathy, right retroperitoneal and iliacus
muscle abscess, and suspicion of splenic abscess caused by S. agalactiae. Infection was successfully treated with
surgical intervention and prolonged antibiotic therapy, but paraparesis was
partially reversed. Chronic
manifestation cannot be excluded from this S. agalactiae invasive
infection and should be one of differential diagnosis in cases with multifocal
infections, especially bone and joint infection. (J Infect Dis Antimicrob
Agents 2015;32:61-6.)
Keyword : Streptococcus agalactiae, Streptococcus Group B, septic arthritis, intra-abdominal abscess, retroperitoneal abscess, vertebral osteomyelitis
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