Calza Leonardo, Manfredi Roberto, Briganti Elisabetta, Attard Luciano, Chiodo Francesco
Department of Clinical and Experimental Medicine, Division of Infectious Diseases, University of Bologna, S. Orsola Hospital, Bologna, Italy.
J Med Microbiol. 2001 May;50(5):480-482. doi: 10.1099/0022-1317-50-5-480.
Streptococcus intermedius, included in the 'milleri group', is a commensal of the mouth and upper respiratory tract but it has often been associated with various pyogenic infections, such as endocarditis, pneumonia, abdominal or cerebral abscess, rarely with osteomyelitis, and exceptionally with muscular abscess. The first observed case of iliac osteomyelitis with gluteal muscle abscess caused by S. intermedius is reported. It is essential to recognise members of the 'milleri group' as possible agents of bone and muscle pyogenic infection because its management requires a timely diagnosis and prolonged antimicrobial treatment to achieve complete clinical and radiological recovery.
中间型链球菌属于“米勒链球菌群”，是口腔和上呼吸道的共生菌，但它常与各种化脓性感染有关，如心内膜炎、肺炎、腹部或脑脓肿，很少引起骨髓炎，极个别情况下会导致肌肉脓肿。本文报告了首例由中间型链球菌引起的伴有臀肌脓肿的髂骨骨髓炎病例。必须认识到“米勒链球菌群”的成员可能是骨和肌肉化脓性感染的病原体，因为其治疗需要及时诊断并进行长期抗菌治疗，以实现临床和影像学的完全康复。
