S-Space College of Medicine/School of Medicine (의과대학/대학원) Pediatrics (소아과학전공) Journal Papers (저널논문_소아과학전공)
Hematogenous osteomyelitis caused by Streptococcus anginosus group in a previously healthy child
- Kim, So Hee; Park, Moon Seok; Song, Sang Hoon; Lee, Hoan Jong; Choi, Eun Hwa
- Issue Date
- PEDIATRICS INTERNATIONAL; Vol.52(4); e209-e211
- Osteomyelitis is an important disease in children because of the
risk of developing permanent disability. Staphylococcus aureus
(89%) and the group A streptococci are the two major pathogens
responsible for osteomyelitis in immunocompetent children.
Musculoskeletal infections caused by Haemophilus influenzae
type b (Hib) have decreased considerably in recent years because
of widespread immunization of infants against Hib. Other bacterial
pathogens rarely cause osteomyelitis in immunocompetent
children, especially in circumstances without any predisposing
Viridans streptococci are known as organisms with low virulence.
However, the Streptococcus anginosus group (SAG) is
characterized by a propensity to form abscesses. Members of the
SAG are found in the human respiratory tract, the gastrointestinal
tract, and the female genitourinary tract as normal flora. The SAG
has often been associated with dental caries, endocarditis,
abdominal abscess, or brain abscess. Bacteremia caused by the
SAG is often associated with an identifiable source of infection,
profound neutropenia, or abdominal surgery. Herein, we report a
case of hematogenous osteomyelitis of the femur caused by the
SAG in a previously healthy 10-year-old boy without any risk
factors. To our knowledge, this is the first report of the SAG
osteomyelitis developed in an otherwise healthy child.
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