Primary sternal osteomyelitis due to Peptostreptococcus anaerobius

Primary sternal osteomyelitis (PSO) is a rare syndrome. In adults, it usually occurs with underlying predisposing factors, such as immunodeficiency, or intravenous (IV) drug abuse. The infecting organism in these patients is usually Staphylococcus aureus or Pseudomonas aeruginosa . Peptostreptococcu...

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Bibliographic Details
Published in:Infection 2012-04, Vol.40 (2), p.195-197
Main Authors: Chen, Y.-L., Tsai, S.-H., Hsu, K.-C., Chen, C.-S., Hsu, C.-W.
Format: Article
Language:English
Subjects:
Adult
Amoxicillin - therapeutic use
Anti-Bacterial Agents - therapeutic use
Antibiotics
Asian Continental Ancestry Group
Case Report
Central nervous system
Clavulanic Acid - therapeutic use
Debridement - methods
Drug abuse
Family Medicine
Flora
General Practice
Gram-Positive Bacterial Infections - microbiology
Gram-Positive Bacterial Infections - therapy
Humans
Infectious Diseases
Internal Medicine
Male
Medicine
Medicine & Public Health
Osteomyelitis - microbiology
Osteomyelitis - therapy
Oxacillin - therapeutic use
Peptostreptococcus - isolation & purification
Sternum
Treatment Outcome
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Summary:Primary sternal osteomyelitis (PSO) is a rare syndrome. In adults, it usually occurs with underlying predisposing factors, such as immunodeficiency, or intravenous (IV) drug abuse. The infecting organism in these patients is usually Staphylococcus aureus or Pseudomonas aeruginosa . Peptostreptococcus species are Gram-positive anaerobic cocci and are part of the normal flora of human mucocutaneous surfaces. Peptostreptococcus infection can occur in all body sites, including the central nervous system, head, neck, chest, abdomen, pelvis, skin, bone, joint, and soft tissue. Here, we report on a 32-year-old previously healthy Chinese man who was diagnosed with PSO and P. anaerobius was yielded in the bacterial culture. He was treated empirically with antibiotics, but these failed. After additional limited surgical intervention with debridement, the PSO was cured.
ISSN:0300-8126
1439-0973
DOI:10.1007/s15010-011-0171-z