Neonatal group B streptococcal vertebral osteomyelitis.

Abstract

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.