{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:36:38Z","timestamp":1747190198095,"version":"3.40.5"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T00:00:00Z","timestamp":1573776000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University General Hospital of Eastern Achaia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2019,11,15]]},"abstract":"<jats:p>Pyogenic spondylodiscitis is a primary infection of the intervertebral disc and is a rare entity. Here, we describe the case of a 64-year-old male patient, a professional breeder, who attended the Emergency Department with sciatica and back pain that was worsening for a week. The patient had no history of surgery or trauma. The patient had poor oral hygiene. Magnetic resonance imaging (MRI) scan showed lumbar spondylodiscitis, and blood cultures revealed <jats:italic>Streptococcus constellatus<\/jats:italic>. The patient was initially treated with vancomycin but due to renal failure deterioration, the treatment was changed to daptomycin for 8 weeks. During hospitalization, he endured renal injury and nosocomial respiratory tract infection. The patient was discharged with no further complications. Follow-up revealed improvement of neurological signs. In our case, it seems that poor oral hygiene was the cause of bacteremia, which underlies the importance of a good oral health status in immunocompromised patients not only to prevent but also to successfully eliminate any dental source of infection. <jats:italic>S. constellatus<\/jats:italic> is an extremely rare pathogen and to our knowledge only two other cases of pyogenic spondylodiscitis are reported in the literature. Early diagnosis is very important for the prognosis of these patients.<\/jats:p>","DOI":"10.1155\/2019\/9364951","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T18:51:27Z","timestamp":1573843887000},"page":"1-4","source":"Crossref","is-referenced-by-count":3,"title":["Pyogenic Spondylodiscitis due to <i>Streptococcus constellatus<\/i> in an Immunocompromised Male Patient: A Case Report and Review of the Literature"],"prefix":"10.1155","volume":"2019","author":[{"given":"Charalampos","family":"Potsios","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4760-4165","authenticated-orcid":true,"given":"Panagiota","family":"Xaplanteri","sequence":"additional","affiliation":[{"name":"Department of Microbiology, University General Hospital of Patras, Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Zoitopoulos","sequence":"additional","affiliation":[{"name":"Department of Microbiology, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Patrinos","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iro Ioanna","family":"Giannakopoulou","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilektra","family":"Tzivaki","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodora","family":"Kafentzi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantina","family":"Samanta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantina","family":"Filioti","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Sideris","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Letsas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Koukios","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, General Hospital of Eastern Achaia, Aigio, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkq303"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2008.0181"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.5704\/moj.1711.004"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000006387"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2017.0875"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1056\/nejmcp0910753"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmni.2016.03.009"},{"issue":"3","key":"9","first-page":"e7","volume":"6","year":"2009","journal-title":"Journal of Orthopaedics"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2014.08.004"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9364951.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9364951.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2019\/9364951.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T18:51:30Z","timestamp":1573843890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2019\/9364951\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,15]]},"references-count":9,"alternative-id":["9364951","9364951"],"URL":"https:\/\/doi.org\/10.1155\/2019\/9364951","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"type":"print","value":"2090-6625"},{"type":"electronic","value":"2090-6633"}],"subject":[],"published":{"date-parts":[[2019,11,15]]}}}