[Pneumococcal spondylodiscitis and pleural effusion. Report of a case and literature review]. / Espondilodiscitis dorsal neumocócica y derrame pleural. Aportación de un caso y revisión de la literatura.

Streptococcus pneumoniae osteomyelitis in adults appears to be a rare event and, apart from isolated case reports, vertebral osteomyelitis due to this pathogen has rarely been reported. We described a immunocompetent 73-year-old woman who was admitted for fever, abdominal and inflammatory back pain. She was diagnosed of T10-T11 spondylodiscitis and right pleural effusion based on computed tomography and magnetic resonance imaging. Streptococcus pneumoniae was isolated from an aspirate of the vertebral foccus. The medical literature for other cases of pneumococcal spondylodiscitis was conducted from 1970 to 2005.

Espondilodiscitis dorsal neumocócica y derrame pleural. Aportación de un caso y revisión de la literatura / Pneumococcal spondylodiscitis and pleural effusion. Report of a case and literature review

En los adultos, las osteomielitis producidas por Streptococcus pneumoniae son muy infrecuentes y, excepto casos aislados, apenas hay referencias de osteomielitis vertebrales por este patógeno. Describimos una paciente de 73 años sin compromiso inmune, que fue ingresada por fiebre, dolor abdominal y dolor dorsal inflamatorio cuyo estudio llevó al diagnóstico de derrame pleural derecho y espondilodiscitis dorsal (D10- D11) en la que se aisló por punción aspirativa Streptococcus pneumoniae. Se revisa la literatura médica sobre espondilodiscitis neumocócicas entre 1970 y 2005

Streptococcus pneumoniae osteomyelitis in adults appears to be a rare event and, apart from isolated case reports, vertebral osteomyelitis due to this pathogen has rarely been reported. We described a immunocompetent 73-year-old woman who was admitted for fever, abdominal and inflammatory back pain. She was diagnosed of T10-T11 spondylodiscitis and right pleural effusion based on computed tomography and magnetic resonance imaging. Streptococcus pneumoniae was isolated from an aspirate of the vertebral foccus. The medical literature for other cases of pneumococcal spondylodiscitis was conducted from 1970 to 2005

Piomiositis, sacroiliitis y espondilodiscitis por Staphylococcus hominis en una mujer sin compromiso inmune / Pyomiositis, Sacroilitis and spondylodiscitis caused by staphilococcus hominis in a immunocompetent woman

Las infecciones osteoarticulares por estafilococos coagulasa negativos son raras en ausencia de factores de riesgo. Presentamos una paciente de 73 años, sin evidencia de compromiso inmune, que desarrolló piomiositis, sacroiliitis izquierda y espondilodiscitis involucrando las dos primeras vértebras dorsales por Staphylococcus hominis. El cuadro clínico infeccioso se desarrolló durante las cinco semanas que siguieron la administración de antiinflamatorios no esteroideos por vía intramuscular a causa de dolor lumbosacro asociado a una hernia discal L4-L5. Esta es la primera descripción conocida de una infección musculoesquelética multifocal por Staphylococcus hominis en una paciente no inmunocomprometida

In abscense of risk factors, osteoarticular infections by coagulase-negative staphylococci are very infrequent. We described the case of a immunocompetent 73-year-old-woman that suffered pyomyositis, left sacroiliitis and spondylodiscitis involving the first and second thoracic vertebrae by Staphylococcus hominis. This multifocal infection occurred five-weeks after intramuscular administration of NSAI for treatment of low back pain associated with a herniated disc L4-L5. This is the first know case of a multifocal muscleskeletal infection by Staphylococcus hominis in a patient immunocompetent

[Pyomyositis, sacroiliitis and spondylodiscitis caused by Staphylococcus hominis in a immunocompetent woman]. / Piomiositis, sacroiliitis y espondilodiscitis por Staphylococcus hominis en una mujer sin compromiso inmune.

In absence of risk factors, osteoarticular infections by coagulase-negative staphylococci are very infrequent. We described the case of a immunocompetent 73-year-old-woman that suffered pyomyositis, left sacroiliitis and spondylodiscitis involving the first and second thoracic vertebrae by Staphylococcus hominis. This multifocal infection occurred five-weeks after intramuscular administration of NSAI for treatment of low back pain associated with a herniated disc L4-L5. This is the first know case of a multifocal muscle skeletal infection by Staphylococcus hominis in a patient immunocompetent.

[Polymyositis and cerebral metastasis as the initial manifestation of a carcinoma of unknown origin. Apropos of a case]. / Polimiositis y metástasis cerebrales como manifestación inicial de carcinoma de origen desconocido. A propósito de un caso.

Polymyositis is an acute or chronic inflammatory myopathy, being its association with malignancy object of controversy. We report a case of a young male patient, in whom the presence of brain metastases and polymyositis were the initial manifestation of a neoplasm of unknown origin, fact rarely described in literature.