Evidence map›Paper›PMID 37468663›Full record

SynthesisEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2023

Osteomyelitis caused by Streptococcus intermedius in immunocompetent adults - a case report and systematic literature review.

Elyne M Brunink, Lotje A Hoogervorst, Koen Steentjes, Demien Broekhuis, Mark G J de Boer

Open access · hybridAbstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Infectious disease reports · 2026
    Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Elyne M BruninkDepartment of Orthopaedics, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands.
Lotje A HoogervorstDepartment of Orthopaedics, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands. l.a.hoogervorst@lumc.nl.ORCID http://orcid.org/0000-0001-5343-6965
Koen SteentjesDepartment of Orthopaedics, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands.
Demien BroekhuisDepartment of Orthopaedics, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands.
Mark G J de BoerDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, 2333ZA, the Netherlands.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematogenous osteomyelitis caused by Streptococcus intermedius is rare, particularly in immunocompetent adults. The aim of this paper is to provide an overview of the clinical presentation, prognosis as well as treatment of this disease, with the focus on immunocompetent adults. Six medical literature libraries were searched to identify studies reporting on Streptococcus intermedius induced hematogenous osteomyelitis in immunocompetent adults. In addition, we presented a case of a 44-year-old man from our institution that is illustrative for this disease. Four case reports describing four patients were identified by this systematic literature review. Hence, the data of five patients (including our case) were assessed. The most common presenting symptom was localised pain, followed by fever. Portal entries were found in two patients (general periodontitis and necrotic dentition). The localisations of osteomyelitis were diverse: femoral (two patients), lumbar spine (two patients), and the iliac bone (one patient). Treatment strategies varied strongly, but antibiotics (penicillins) were administered in each case, and two patients underwent surgical debridement. Follow-up ranged from 2 weeks to more than 6 months; one patient died from septic shock. Only a very limited number of immunocompetent adults with Streptococcus intermedius induced hematogenous osteomyelitis have been described. Based on the available data, we summarised the clinical presentation, prognosis as well as treatment of hematogenous osteomyelitis caused by Streptococcus intermedius in this patient population.

Indexed as

OsteomyelitisStreptococcus intermediusAdultAnti-Bacterial AgentsHumansMalePrognosisAnti-Bacterial AgentsHematogenousImmunocompetentInfectious diseasesOsteomyelitisStreptococcus intermedius

Identifiers

PMID37468663
PMCPMC10427518
OpenAlexW4384817944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.