CASE # 1 (01/09/98)
Group A Streptococcal osteomyelitis of the right tibia.
The two blood cultures obtained in this patient upon admission yielded group A beta-hemolytic Streptococcus. His bone scan was consistent with osteomyelitis of the right tibia. Incision and drainage was performed, the cultures obtained during the procedure yielded the same organism. The patient improved after receiving treatment with clindamycin and penicillin for six weeks .
References:
Griebel M, Nahlen B, Jacobs RF, et al. Group A streptococcal postvaricella
osteomyelitis.
J Pediatr Orthop 1985; 5:101-103.
Doctor A, Harper MB, Fleisher GR. Group A beta-hemolytic streptococcal
bacteremia: historical overview, changing incidence, and recent association
with varicella.
Pediatrics 1995; 96: 428-433.
Geddes AM, Dwyer NS, Ball AP, Amos RS. Clindamycin in bone and joint
infections.
J Antimicrob Chemother 1977; 3: 501-507.
Last update January, 1998
Our address is: bemolina@aol.com
Benjamin Estrada, M.D.
Assistant Professor of Pediatrics,
Division of Pediatric Infectious Diseases,
Department of Pediatrics and Adolescent Medicine,
University of South Alabama (*)