Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review

Septic arthritis is an orthopedic emergency that is commonly caused by Staphylococcus aureus. Old age, diabetes mellitus, rheumatoid arthritis, prosthetic joint, and recent surgery are the main predisposing risk factors. Most cases of septic arthritis are caused by hematogenous spread of infection....

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Main Authors: Fatma Al-Farsi, Ibrahim Al-Busaidi, Khalfan Al-Zeedi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2018/2616787
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author Fatma Al-Farsi
Ibrahim Al-Busaidi
Khalfan Al-Zeedi
author_facet Fatma Al-Farsi
Ibrahim Al-Busaidi
Khalfan Al-Zeedi
author_sort Fatma Al-Farsi
collection DOAJ
description Septic arthritis is an orthopedic emergency that is commonly caused by Staphylococcus aureus. Old age, diabetes mellitus, rheumatoid arthritis, prosthetic joint, and recent surgery are the main predisposing risk factors. Most cases of septic arthritis are caused by hematogenous spread of infection. Infectious sacroiliitis is a rare form of septic arthritis which is often clinically challenging to diagnose due its various and nonspecific presentations. Streptococcus mitis belongs to viridans group streptococci (VGS) bacteria, which is a component of body flora that is commonly involved in bacterial endocarditis. VGS in general and S. mitis specifically is an uncommon cause of osteoarticular infections. Here, we report a case of spontaneous Streptococcus mitis bacteremia complicated by septic sacroiliitis in a healthy teenager in the absence of infective endocarditis or a clear source of bacteremia.
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institution Kabale University
issn 2090-6625
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Infectious Diseases
spelling doaj-art-348caceaebfe473b840001ef5193f73e2025-08-20T03:55:06ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/26167872616787Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature ReviewFatma Al-Farsi0Ibrahim Al-Busaidi1Khalfan Al-Zeedi2Oman Medical Specialty Board, Medical Microbiology Residency Program, Muscat, OmanInfectious Diseases Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Medicine, Sultan Qaboos University Hospital, Muscat, OmanSeptic arthritis is an orthopedic emergency that is commonly caused by Staphylococcus aureus. Old age, diabetes mellitus, rheumatoid arthritis, prosthetic joint, and recent surgery are the main predisposing risk factors. Most cases of septic arthritis are caused by hematogenous spread of infection. Infectious sacroiliitis is a rare form of septic arthritis which is often clinically challenging to diagnose due its various and nonspecific presentations. Streptococcus mitis belongs to viridans group streptococci (VGS) bacteria, which is a component of body flora that is commonly involved in bacterial endocarditis. VGS in general and S. mitis specifically is an uncommon cause of osteoarticular infections. Here, we report a case of spontaneous Streptococcus mitis bacteremia complicated by septic sacroiliitis in a healthy teenager in the absence of infective endocarditis or a clear source of bacteremia.http://dx.doi.org/10.1155/2018/2616787
spellingShingle Fatma Al-Farsi
Ibrahim Al-Busaidi
Khalfan Al-Zeedi
Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
Case Reports in Infectious Diseases
title Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
title_full Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
title_fullStr Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
title_full_unstemmed Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
title_short Acute Streptococcus mitis Sacroiliitis in a Teenager with Unclear Source of Bacteremia: A Case Report and Literature Review
title_sort acute streptococcus mitis sacroiliitis in a teenager with unclear source of bacteremia a case report and literature review
url http://dx.doi.org/10.1155/2018/2616787
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