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Joint Bone Spine
Volume 73, n° 3
pages 325-328 (mai 2006)
Doi : 10.1016/j.jbspin.2005.07.004
Received : 20 January 2005 ;  accepted : 4 July 2005
Bone and joint infection due to Streptococcus pneumoniae in two immunocompetent adults

Emmanuel Forestier a, , Christelle Sordet a, Julien Cohen-Solal a, Véronique Remy b, Rose-Marie Javier a, Jean-Louis Kuntz a, Jean Sibilia a
a Rheumatology Department, Hautepierre Hospital, Av. Molière, 67098 Strasbourg cedex, France 
b Department of Internal Medicine, Infectiology, and Tropical Diseases, Civilian Hospital, 1, place de l'Hôpital, 67094 Strasbourg, France 

Corresponding author. Service de Maladies Infectieuses et Tropicales, 1, place de l'Hôpital Civil, 67000 Strasbourg, France. Tel.: +33 390 243 790; fax: +33 388 251 113.

Bone and joint infections due to Streptococcus pneumoniae are uncommon in adults in the absence of risk factors (e.g. alcohol abuse, immunodepression, or preexisting joint disease). We report two cases in previously healthy adults. The clinical picture was septic arthritis of the knee in one patient and discitis with an extensive epidural abscess in the other. The characteristics of S. pneumoniae bone and joint infections are reviewed, with emphasis on risk factors. The therapeutic strategy is discussed in the light of the recent upsurge in S. pneumoniae strains with reduced susceptibility to penicillin.

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Keywords : Streptococcus pneumoniae, Arthritis, Osteitis, Discitis

© 2006  Elsevier SAS. All Rights Reserved.