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Case Reports
. 1999 Dec;37(12):4198-200.
doi: 10.1128/JCM.37.12.4198-4200.1999.

Lumbar vertebral osteomyelitis with mycotic abdominal aortic aneurysm caused by highly penicillin-resistant Streptococcus pneumoniae

J Naktin  1 , J DeSimone
Affiliations
Case Reports

Lumbar vertebral osteomyelitis with mycotic abdominal aortic aneurysm caused by highly penicillin-resistant Streptococcus pneumoniae

J Naktin et al. J Clin Microbiol. 1999 Dec.

Abstract

We present a case of vertebral osteomyelitis with an adjacent abdominal aortic mycotic aneurysm caused by a highly penicillin-resistant Streptococcus pneumoniae strain. The occurrence of all three phenomena in a single patient has not been previously described. This presentation offers the opportunity to reflect on the increasing incidence of S. pneumoniae as a resistant pathogen, the treatment of highly penicillin-resistant S. pneumoniae, and the etiologic agents of both vertebral osteomyelitis and mycotic aneurysm.

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Figures

FIG. 1
FIG. 1
Magnetic resonance imaging of the lumbar spine demonstrating destruction of the vertebral bodies at L3 and L4 with prevertebral and psoas microabscess formation. Dilation of the abdominal aorta at this level can also be appreciated. The spinal canal shows significant narrowing with meningeal enhancement.
See this image and copyright information in PMC

References

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