Abstract
A 68-year-old man with septic discitis of low lumbar spine is presented. The patient suffered an acute hemorrhagic stroke due to rupture of mycotic aneurysm. Streptococcus bovis biotype I was found in blood cultures. Echocardiography showed bioprosthesis aortic endocarditis. Cardiac surgery was not performed because of normal bioprosthesis function and absence of peri-annular complications. The patient was discharged after 6 weeks of antibiotic treatment.
MeSH terms
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Aged
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Anti-Bacterial Agents / therapeutic use
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Bioprosthesis
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Ceftriaxone / therapeutic use
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Discitis / diagnosis
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Discitis / drug therapy
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Discitis / etiology
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Discitis / microbiology*
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Drug Therapy, Combination
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnosis
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology*
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Gentamicins / therapeutic use
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Humans
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Lumbar Vertebrae
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Male
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Streptococcal Infections / complications
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Streptococcal Infections / diagnosis
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Streptococcal Infections / drug therapy
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Streptococcal Infections / microbiology*
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Streptococcus bovis / isolation & purification*
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Gentamicins
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Ceftriaxone