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Infective endocarditis and osteomyelitis caused by Cellulomonas: a case report and review of the literature
Diagnostic Microbiology and Infectious Disease, 09/15/09

Lai PC et al. – The authors report the first case of endocarditis caused by Cellulomonas and complicated with osteomyelitis of the lumbar spine in a 78–year–old woman. The diagnosis of infective endocarditis in this case was definitely using the Duke criteria. The magnetic resonance imaging of the lumbar spine revealed infective spondylodisciitis at an early stage. After a full course of antibiotics treatment, the patient's fever subsided but her lower back pain persisted. A slow clinical response to appropriate antimicrobial agents was characteristic of Gram–positive bacillary endocarditis.

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