This is the first reported case of osteomyelitis of a long bone produced by hematogenous seeding by viridans streptococci, which responded to penicillin G and gentamicin.
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A 34-year-old man without known underlying disease was seen with osteomyelitis of the proximal shaft of the left femur. At operation, only viridans streptococci were isolated. The patient responded to a combination of intravenous penicillin G potassium and gentamicin sulfate therapy. To our knowledge, this is the first reported case of osteomyelitis of a long bone produced by hematogenous seeding by viridans streptococci.
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May inform rare viridans streptococcal osteomyelitis therapy; single case leaves efficacy open.
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Bruce S. Ribner (1982) studied this question.
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