amoxicillin-potassium-clavulanate-combination and Spondylitis

Streptococcus agalactiae is a rare cause of vertebral osteomyelitis. We present four cases of spondylitis caused by this micro-organism and a review of 20 cases previously described in the literature. Only seven patients (29%) were under 50 years of age. Diabetes mellitus and neoplasms were the most frequent underlying conditions, although 37.5% of the patients did not have any predisposition. Neck or back pain was the most common symptom. Diagnosis depended mainly on magnetic resonance imaging. Blood cultures were positive in 50% of the patients. The duration of antibiotic therapy was 6 weeks for most patients. The outcome was favourable, with none of the patients suffering serious sequelae.

Topics: Abscess; Aged; Amoxicillin-Potassium Clavulanate Combination; Ampicillin; Arthroplasty, Replacement, Hip; Cefazolin; Cephalosporins; Drug Therapy, Combination; Female; Gentamicins; Hemoglobins; Humans; Leukocyte Count; Lumbar Vertebrae; Magnetic Resonance Imaging; Male; MEDLINE; Middle Aged; Osteomyelitis; Penicillins; Radiography; Spondylitis; Streptococcal Infections; Streptococcus agalactiae

Topics: Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Cervical Vertebrae; Clindamycin; Drug Therapy, Combination; Embolism; Female; Gram-Positive Bacterial Infections; Headache; Humans; Lemierre Syndrome; Myalgia; Peptostreptococcus; Retropharyngeal Abscess; Rifampin; Spondylitis; Tomography, X-Ray Computed; Young Adult

Topics: Amoxicillin-Potassium Clavulanate Combination; Analgesics, Opioid; Animals; Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Buprenorphine; Cat Diseases; Cats; Diphenylamine; Male; Phenylacetates; Spondylitis