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Torikai, K., Yamasaki, Y., Nemoto, T., Ishii, O., Takagi, T., Takemura, H. and Matsuda, T. (2011) A Case of Acute Septic Osteomyelitis Onset Due to Streptococcus Dysgalactiae Subsp. Equisimilis in an Elderly Diabetic Patient. Kansenshogaku Zasshi, 85, 508-511.

has been cited by the following article:

• TITLE: Spondylodiscitis Caused by Streptococcus dysgalactiae Subspecies Equisimilis: A Case Report of an Increasingly Recognized Pathogenic Organism

  AUTHORS: Sara Beça, Sandra Xerinda, António Sarmento

  KEYWORDS: Spondylodiscitis; Vertebral Osteomyelitis; Streptococcus dysgalactiae Subspecies Equisimilis; Diabetes Mellitus

  JOURNAL NAME: Advances in Infectious Diseases, Vol.4 No.1, March 4, 2014

  ABSTRACT: Streptococcus dysgalactiae subspecies equisimilis (SDSE) is a β-hemolytic Streptococcus that possesses genetic and clinical similarities to Streptococcus pyogenes. It is increasingly recognized as the etiological microorganism of invasive diseases. We report a case of a 74-year-old male who was admitted to this hospital with lower back and neck pain and infected with leg ulcer. The diagnosis of spondylodiscitis C2-C3 and L1-L3 caused by Streptococcus dysgalactiae subsp. equisimilis was made. The present case demonstrates the risk of older patients of developing invasive disease upon skin infection with Streptococcus dysgalactiae subsp. equisimilis, even when risk factors are absent or well controlled (as was diabetes mellitus in this case), suggesting that the pathogenic potential of SDSE should not be underestimated.