Tananun Tanpaibule M.D., Sasisopin Kiertiburanakul M.D., M.H.S.


Streptococcal agalactiae has emerged as an important cause of invasive bacterial infection among adults, particularly in those who are elderly or diabetic.  We describe a case of  a 72-year-old, previously healthy woman, who presented with chronic disseminated infection of right hip, vertebral spondylodiscitis with compressive myelopathy, right retroperitoneal and iliacus muscle abscess, and suspicion of splenic abscess caused by S. agalactiae.  Infection was successfully treated with surgical intervention and prolonged antibiotic therapy, but paraparesis was partially reversed.  Chronic manifestation cannot be excluded from this S. agalactiae invasive infection and should be one of differential diagnosis in cases with multifocal infections, especially bone and joint infection. (J Infect Dis Antimicrob Agents 2015;32:61-6.)

Keyword : Streptococcus agalactiae, Streptococcus Group B, septic arthritis, intra-abdominal abscess, retroperitoneal abscess, vertebral osteomyelitis


Abstract Full Text 365.84 KB