PEDIATRICS Vol. 98 No. 3 September 1996, pp. 459-461
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Neonatal Group B Streptococcal Vertebral Osteomyelitis

Leslie L. Barton MD1, Rodrigo G. Villar MD1, and Sydney A. Rice MD1

1 Department of Pediatrics, Steele Memorial Children's Research Center, University of Arizona, Tucson, AZ 85724

Neonatal osteomyelitis is an uncommon entity with major involvement of lower- and upper-extremity long bones. Vertebral osteomyelitis represents only 1% to 2% of such cases1,2 and may pose a diagnostic conundrum, with disastrous consequences if diagnosis and therapy are delayed. We report a neonate with the unique association of vertebral osteomyelitis and group B streptococcal infection. The dual medical and surgical approach to this disease, necessary for successful outcome, is described.

CASE REPORT

A 1-month-old boy was admitted to the hospital for evaluation of a posterior thoracic mass. He was born to a 25-year-old gravida 2, para 2 woman after a full-term pregnancy.

Submitted on November 6, 1995
Accepted on November 6, 1995