Journal of Clinical Microbiology, December 1999, p. 4198-4200, Vol. 37, No. 12
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Division of Infectious Diseases, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107,2 and I.D. Care, Inc., Randolph, New Jersey 078691
Received 24 June 1999/Returned for modification 22 August 1999/Accepted 7 September 1999
We present a case of vertebral osteomyelitis with an adjacent abdominal aortic mycotic aneurysm caused by a highly penicillin-resistant Streptococcus pneumoniae strain. The occurrence of all three phenomena in a single patient has not been previously described. This presentation offers the opportunity to reflect on the increasing incidence of S. pneumoniae as a resistant pathogen, the treatment of highly penicillin-resistant S. pneumoniae, and the etiologic agents of both vertebral osteomyelitis and mycotic aneurysm.
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