Back
 AID  Vol.4 No.1 , March 2014
Spondylodiscitis Caused by Streptococcus dysgalactiae Subspecies Equisimilis: A Case Report of an Increasingly Recognized Pathogenic Organism
Abstract: Streptococcus dysgalactiae subspecies equisimilis (SDSE) is a β-hemolytic Streptococcus that possesses genetic and clinical similarities to Streptococcus pyogenes. It is increasingly recognized as the etiological microorganism of invasive diseases. We report a case of a 74-year-old male who was admitted to this hospital with lower back and neck pain and infected with leg ulcer. The diagnosis of spondylodiscitis C2-C3 and L1-L3 caused by Streptococcus dysgalactiae subsp. equisimilis was made. The present case demonstrates the risk of older patients of developing invasive disease upon skin infection with Streptococcus dysgalactiae subsp. equisimilis, even when risk factors are absent or well controlled (as was diabetes mellitus in this case), suggesting that the pathogenic potential of SDSE should not be underestimated.
Cite this paper: Beça, S. , Xerinda, S. and Sarmento, A. (2014) Spondylodiscitis Caused by Streptococcus dysgalactiae Subspecies Equisimilis: A Case Report of an Increasingly Recognized Pathogenic Organism. Advances in Infectious Diseases, 4, 22-25. doi: 10.4236/aid.2014.41004.
References

[1]   Broyles, L.N., Van Beneden, C., Beall, B., Facklam, R., Shewmaker, P.L., Malpiedi, P., Daily, P., Reingold, A. and Farley, M.M. (2009) Population-Based Study of Invasive Disease Due to Beta-Hemolytic Streptococci of Groups Other than A and B. Clinical Infectious Diseases, Vol.48, 706-712. http://dx.doi.org/10.1086/597035

[2]   Takahashi, T., Sunaoshi, K., Sunakawa, K., Fujishima, S., Watanabe, H. and Ubukata, K. (2010) Clinical Aspects of Invasive Infections with Streptococcus Dysgalactiae ssp. Equisimilis in Japan: Differences with Respect to Streptococcus Pyogenes and Streptococcus Agalactiae Infections. Clinical Microbiology and Infection, 16, 1097-1103.
http://dx.doi.org/10.1111/j.1469-0691.2009.03047.x

[3]   Richette, P., Pizzuti, P., Quillard, A., Raskine, L., Naveau, B. and Lioté, F. (2001) A Definite Case of Spondylodiscitis Caused by Streptococcus Equisimillis. Clinical and Experimental Rheumatology, 19, 587-588.

[4]   Lestin, F., Mann, S. and Podbielsk, A. (2008) Spondylodiscitis and Paraspinal Abscess Caused by β-Haemolytic Group G Streptococci Spreading from Infected Leg Ulcers. Journal of Medical Microbiology, 57, 1157-1160.
http://dx.doi.org/10.1099/jmm.0.2008/000240-0

[5]   Kumar, A., Sandoe, J. and Kumar, N. (2005) Three Cases of Vertebral Osteomyelitis Caused by Streptococcus Dysgalactiae Subsp. Equisimilis. Journal of Medical Microbiology, 54, 1103-1105. http://dx.doi.org/10.1099/jmm.0.46061-0

[6]   Tobias, J.H., Lee, P.Y. and Bruckner, F.E. (1992) Group G Beta-Haemolytic Streptococcal Vertebral Osteomyelitis. Journal of Infection, 25, 115-116. http://dx.doi.org/10.1016/0163-4453(92)93801-V

[7]   Castellarin, M., Bonnet, C., Remy, M., Arnaud, M., Negrier, I., Bertin, P. and Treves, R. (1993) Spondylitis Due to Group G. Streptococcus. Journal of Rheumatology, 20, 758-759.

[8]   Hall, M. and Williams, A. (1993) Group G Streptococcal Osteomyelitis of the Spine. British Journal of Rheumatology, 32, 342-345. http://dx.doi.org/10.1093/rheumatology/32.4.342

[9]   Hayashi, Y., Ishii, Y., Arai, R., Obara, K., Kamada, A., Takizawa, H., Hase, I., Mashio, K., Yamada, I., Takemasa, A., Sugiyama, K., Fukushima, Y. and Fukuda, T. (2007) A Case of Group G Streptococcus Sepsis, Chest Wall Abscess, and Vertebral Osteomyelitis Mimicking a Primary Lung Cancer with Bone Metastasis. Nihon Kokyuki Gakkai Zasshi, 45, 76-80.

[10]   Torikai, K., Yamasaki, Y., Nemoto, T., Ishii, O., Takagi, T., Takemura, H. and Matsuda, T. (2011) A Case of Acute Septic Osteomyelitis Onset Due to Streptococcus Dysgalactiae Subsp. Equisimilis in an Elderly Diabetic Patient. Kansenshogaku Zasshi, 85, 508-511.

[11]   Asplin, C.M., Beeching, N.J. and Slack, M.P. (1979) Osteomyelitis Due to Streptococcus Equisimilis (Group C). British Medical Journal, 1, 89-90. http://dx.doi.org/10.1136/bmj.1.6156.89-a

 
 
Top