Evidence map›Paper›PMID 40080130›Full record

ReviewInternational orthopaedics2025

Musculoskeletal infections caused by streptococcus infantarius - a case series and review of literature.

Alberto Alfieri Zellner, Julian Voss, Alexander Franz, Jonas Roos, Gunnar Thorben Rembert Hischebeth, Ernst Molitor, Frank Sebastian Fröschen

Abstract readReview
In one paragraph

Review in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. The BlowflyPathogens (Basel, Switzerland) · 2026
    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

7 authors.

Alberto Alfieri ZellnerUniversity Hospital of Bonn, Department of Orthopedics and Trauma Surgery, Bonn, Germany.
Julian VossUniversity Hospital of Bonn, Department of Orthopedics and Trauma Surgery, Bonn, Germany.
Alexander FranzUniversity Hospital of Bonn, Department of Orthopedics and Trauma Surgery, Bonn, Germany.
Jonas RoosUniversity Hospital of Bonn, Department of Orthopedics and Trauma Surgery, Bonn, Germany.
Gunnar Thorben Rembert HischebethUniversity Hospital of Bonn, Institute of Medical Microbiology, Immunology and Parasitology, Bonn, Germany.
Ernst MolitorUniversity Hospital of Bonn, Institute of Medical Microbiology, Immunology and Parasitology, Bonn, Germany.
Frank Sebastian FröschenUniversity Hospital of Bonn, Department of Orthopedics and Trauma Surgery, Bonn, Germany. Frank.froeschen@ukbonn.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe full spectrum of diseases caused by S. infantarius remains poorly understood, particularly its role in musculoskeletal infections.

methodsA retrospective study was conducted from January 2008 to May 2024. Patients with bacterial infections and detection of S. infantarius in at least one tissue sample, fluid sample, or blood cultures were included. Follow-up controls in patients with musculoskeletal infection were performed.

resultsS. infantarius could be identified in at least one sample (blood cultures, wound fluid, wound swab, bile, tissue or urine sample) of 72 patients. 33 were considered clinically relevant with symptomatic infections (63.4 ± 21.1 years; positive samples: 1.39 ± 0.86; total number of samples: 2.7 ± 1.76). Non-muskuloskeletal infections (n = 29; 61.1 ± 21.5 years; positive samples: 1.28 ± 0.59) included a variety of different infections (sepsis (n = 11), abdominal/gastrointestinal/urogenital infections (n = 16), soft tissue infections (n = 2)). Four patients with musculoskeletal S. infantarius infection (positive samples: 2.25 ± 1.89; diagnosis: acute PJI, spondylodiscitis, chronic PJI and postoperative spinal wound infection) required surgical and/or antimicrobial treatment. Follow-up after musculoskeletal infection varied between 10 and 60 months. Antibiotic susceptibility testing displayed a sensitivity to Penicillin in all isolates. No patient had a recurrent positive sample/infection with S. infantarius.

conclusionsThis study describes musculoskeletal infections caused by S. infantarius, highlighting its possible relevance as pathogen in orthopedic infections. The findings underscore the importance of recognizing and appropriately treating S. infantarius. In case of penicillin allergy, clindamycin shows to be an effective alternative treatment.

Indexed as

Musculoskeletal DiseasesStreptococcal InfectionsStreptococcusAdultAgedAnti-Bacterial AgentsFemaleHumansMaleMiddle AgedRetrospective StudiesSoft Tissue InfectionsAnti-Bacterial AgentsAntibiotic susceptibilityMusculoskeletal infectionPJIStreptococciStreptococcus infantarius

Identifiers

PMID40080130
PMCPMC12075352

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Registered trials

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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.