Document Type

Article

Peer Reviewed

1

Publication Date

9-18-2017

NLM Title Abbreviation

JMM Case Rep

Journal/Book/Conference Title

JMM Case Reports

PubMed ID

29114394

DOI of Published Version

10.1099/jmmcr.0.005112

Start Page

005112

Total Pages

4

Abstract

Introduction.Staphylococcus caprae is a coagulase-negative staphylococcus that has been reported in several cases as a human pathogen. However, it has rarely been reported as pathogen in native bone. Furthermore, the reported MIC levels noted in the literature for vancomycin were <2 >µg ml-1making vancomycin a first line choice for infected patients. Case presentation. We report a case of Staphylococcus caprae causing osteomyelitis of the lumbar spine and bacteraemia and resulting in sepsis and ultimately the demise of a patient despite appropriate prolonged antibiotic therapy. Conclusion.Staphylococcus caprae has been reported as a human pathogen since 1983 when it was discovered. We report a case involving native bone infection which is rare in the absence of mechanical hardware. Furthermore, this strain had an elevated MIC for vancomycin which has not been reported in the literature.

Keywords

OAfund, native joint infection, bacteraemia, vancomycin, Staphylococcus caprae, elevated MIC, therapeutic failure

Journal Article Version

Version of Record

Published Article/Book Citation

JMM Case Reports , 2017 4, https:doi.org/10.1099/jmmcr.0.005112

Rights

Copyright (c) 2017 The Authors

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

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URL

https://ir.uiowa.edu/internalmedicine_pubs/24