Ganapathy M E, Rissing J P
Section of Infectious Diseases, Veterans Administration Medical Center, Augusta, Ga. 30904-6285.
South Med J. 1995 Mar;88(3):350-1. doi: 10.1097/00007611-199503000-00020.
Group B streptococcal vertebral osteomyelitis is rare in adults. Osteomyelitis due to this organism is in general related to contiguous infections, recent surgery, or peripheral vascular disease. All reported cases of group B streptococcal vertebral osteomyelitis, however, have had no association with these predisposing factors and have usually been presumed to be of hematogenous origin, though bacteremia has never been demonstrated. Here we describe a 45-year-old intravenous drug abuser who had vertebral osteomyelitis and bacteremia. We conclude that the vertebral osteomyelitis in this patient was hematogenous, as shown by bacteremia, and most likely resulted from intravenous needle use.
B组链球菌性椎体骨髓炎在成年人中较为罕见。由该病原体引起的骨髓炎一般与邻近感染、近期手术或外周血管疾病有关。然而，所有已报道的B组链球菌性椎体骨髓炎病例均与这些易感因素无关，通常被认为是血源性的，尽管从未证实存在菌血症。在此，我们描述一名45岁的静脉吸毒者，其患有椎体骨髓炎和菌血症。我们得出结论，该患者的椎体骨髓炎是血源性的，菌血症可证明这一点，并且很可能是由静脉注射针头使用所致。
