Streptococcus anginosus and Phalangeal Osteomyelitis: An Unusual Presentation

• DOI: 10.13107/jocr.2020.v10.i09.1888
• Publication Date: 2021-05-28T01:52:11Z
• Authors: Luís Mata Ribeiro; Sara Carvalho; Diogo Guimarães; Manuel Vilela; Ana S. Guerra
• Keywords: Streptococcus anginosus; Bacteremia

Osteomyelitis of the hand is a rare entity and almost always occurs after catastrophic injuries. Streptococcus anginosus part normal microbial flora oral cavity gastrointestinal tract. It frequently associated with purulent infections in several anatomic locations but rarely harms bony structures. The occurrence osteomyelitis caused by this microorganism very unusual.We report clinical case 58-year-old Caucasian male, ex-smoker, medical history chronic hepatitis C virus infection, liver cirrhosis, diabetes mellitus that developed extensive middle distal phalanx his right ring finger S. needed amputation for infection control. He had suffered cut steel grinder on 2 weeks before coming to emergency department. was also been submitted dental procedure (tooth extraction) exact day trauma. We believe most likely origin transient bacteremia led hematogenous seeding commensal microbes, including anginosus, ended up infecting an area low immune capacity due trauma.S. causes multiple affects more often immunocompromised patients, especially those cirrhosis mellitus. Even though it not osteomyelitis, we should have high level suspicion if patient has intraoral disease or procedures. severe, leading need radical debridements.