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Ingrid Muhle, MD; James Rau, MD; Joel Ruskin, MD

JAMA. 1979;241(17):1824-1825.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ONLY 52 cases of Actinobacillus actinomycetemcomitans infection have been recorded from the United States and Europe.^1,2 Most of the patients described had endocarditis. We report here an unusual case of systemic A actinomycetemcomitans infection in which there was no evidence of endocarditis. This patient had vertebral osteomyelitis and axillary abscesses. To our knowledge, hematogenous osteomyelitis due to A actinomycetemcomitans has not been previously recognized.

Report of a Case

A 45-year-old accountant was in excellent health until November 1976, when he experienced lower back pain not associated with trauma, physical strain, or any systemic symptoms. Results of physical examination and urinalysis were normal.

Roentgenogram of the lumbosacral spine and an intravenous urogram were normal. The patient received analgesics and physical therapy. Over the next two months, his pain worsened and at times radiated to the right hip and leg. During this period he denied fever, chills, or night sweats.

By . . . [Full Text PDF of this Article]

Author Affiliations
From the Infectious Diseases Service, Southern California Permanente Medical Group, Los Angeles.

Footnotes
Reprint requests to Infectious Diseases Service, Southern California Permanente Medical Group, 1505 N Edgemont St, Los Angeles, CA 90027 (Dr Ruskin).

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