Haemophilus parainfluenzae osteomyelitis as initial manifestation of an infectious endocarditis

J. Mendive; J. A. Capdevila; A. Fernandez-Sola; C. P. Simeon; O. Del Valle-Ortiz

Haemophilus parainfluenzae osteomyelitis as initial manifestation of an infectious endocarditis

J. Mendive, J. A. Capdevila, A. Fernandez-Sola, C. P. Simeon, O. Del Valle-Ortiz

Departament de Medicina

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Resum

Haemophiltus parainfluenzae rarament causa infeccions humanes. S'ha aïllat en mostres clíniques de pacients amb pneumònia, meningitis i endocarditis però rares vegades en infeccions d'ossos o articulacions. Presentem un home de 62 anys amb dolor intens al coll i l'espatlla esquerra. Dues sèries de cultius sanguinis van ser positius per Haemophilus parainfluenzae. L'escaneig ossi i la TAC suggerien un procés sèptic a les zones afectades clínicament. El desenvolupament posterior va confirmar la presència d'una endocarditis infecciosa subjacent. Primer es va tractar amb ampicillin i després amb ciprofloxacin. Aquest quinol té una bona penetració en l'os i, com a tractament oral, pot ser una bona alternativa per a les infeccions osteoarticulars de pacients externs. Tot i així, hi ha controvèrsia sobre la seva eficàcia quan se sospita d'una endocarditis infecciosa.

Idioma original	Anglès
Pàgines (de-a)	49-50
Revista	European Journal of Internal Medicine
Volum	6
Número	1
Estat de la publicació	Publicada - 1 de gen. 1995

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https://www.scopus.com/pages/publications/0029084168

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title = "Haemophilus parainfluenzae osteomyelitis as initial manifestation of an infectious endocarditis",

abstract = "Haemophiltus parainfluenzae seldom causes human infections. It has been isolated in clinical specimens of patients with pneumonia, meningitis and endocarditis but rarely in bone or joint infections. We present a 62 years old man with an intense pain in his neck and left shoulder. Two sets of blood cultures were positive for Haemophilus parainfluenzae. Bone scan and CT suggested a septic process in the clinically affected areas. Posterior evolution confirmed the presence of an underlying infectious endocarditis. Ampicillin first and ciprofloxacin afterwards were the antibiotic, treatments. This quinolone has a good penetration into the bone and, as an oral treatment, it can be a good alternative for osteoarticular infections in outpatients, However, controversy exists about its efficacy when infectious endocarditis is suspected.",

keywords = "Ciprofloxacin, Endocarditis, Haemophilus parainfluenzae, Osteomyelitis",

author = "J. Mendive and Capdevila, \{J. A.\} and A. Fernandez-Sola and Simeon, \{C. P.\} and \{Del Valle-Ortiz\}, O.",

year = "1995",

month = jan,

day = "1",

language = "English",

volume = "6",

pages = "49--50",

journal = "European Journal of Internal Medicine",

issn = "0953-6205",

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TY - JOUR

T1 - Haemophilus parainfluenzae osteomyelitis as initial manifestation of an infectious endocarditis

AU - Mendive, J.

AU - Capdevila, J. A.

AU - Fernandez-Sola, A.

AU - Simeon, C. P.

AU - Del Valle-Ortiz, O.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Haemophiltus parainfluenzae seldom causes human infections. It has been isolated in clinical specimens of patients with pneumonia, meningitis and endocarditis but rarely in bone or joint infections. We present a 62 years old man with an intense pain in his neck and left shoulder. Two sets of blood cultures were positive for Haemophilus parainfluenzae. Bone scan and CT suggested a septic process in the clinically affected areas. Posterior evolution confirmed the presence of an underlying infectious endocarditis. Ampicillin first and ciprofloxacin afterwards were the antibiotic, treatments. This quinolone has a good penetration into the bone and, as an oral treatment, it can be a good alternative for osteoarticular infections in outpatients, However, controversy exists about its efficacy when infectious endocarditis is suspected.

AB - Haemophiltus parainfluenzae seldom causes human infections. It has been isolated in clinical specimens of patients with pneumonia, meningitis and endocarditis but rarely in bone or joint infections. We present a 62 years old man with an intense pain in his neck and left shoulder. Two sets of blood cultures were positive for Haemophilus parainfluenzae. Bone scan and CT suggested a septic process in the clinically affected areas. Posterior evolution confirmed the presence of an underlying infectious endocarditis. Ampicillin first and ciprofloxacin afterwards were the antibiotic, treatments. This quinolone has a good penetration into the bone and, as an oral treatment, it can be a good alternative for osteoarticular infections in outpatients, However, controversy exists about its efficacy when infectious endocarditis is suspected.

KW - Ciprofloxacin

KW - Endocarditis

KW - Haemophilus parainfluenzae

KW - Osteomyelitis

UR - https://www.scopus.com/pages/publications/0029084168

M3 - Article

SN - 0953-6205

VL - 6

SP - 49

EP - 50

JO - European Journal of Internal Medicine

JF - European Journal of Internal Medicine

IS - 1

ER -

Haemophilus parainfluenzae osteomyelitis as initial manifestation of an infectious endocarditis

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