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Osteomyelitis caused by Veillonella
Authors:Richard A Barnhart  Michael R Weitekamp  Robert C Aber
Institution:Hershey, Pennsylvania, USA
Abstract:Veillonella parvula and alcalescens are anaerobic gram-negative cocci that, when isolated from anaerobic cultures of clinical specimens, are usually regarded as commensal organisms. Occasionally they play a pathogenic role and require antibiotic therapy. Limited clinical experience and in vitro susceptibility studies suggest that penicillin G is the drug of choice for these organisms and that cephalosporins, clindamycin, chloramphenicol, and metronidazole may be acceptable therapeutic alternatives. Presented herein is a case report of a Veillonella infection, a discussion of the importance of these organisms when they occur in a clinical infection, and a discussion of the appropriate antibiotic therapy.
Keywords:Requests for reprints should be addressed to Dr  Robert C  Aber  Department of Medicine  Milton S  Hershey Medical Center  Hershey  Pennsylvania 17033  
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