Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2023; 11(20): 4897-4902
Published online Jul 16, 2023. doi: 10.12998/wjcc.v11.i20.4897
Subacute osteomyelitis due to Staphylococcus caprae in a teenager: A case report and review of the literature
Oscar Vazquez, Giacomo De Marco, Nathaly Gavira, Celine Habre, Marcia Bartucz, Christina N Steiger, Romain Dayer, Dimitri Ceroni
Oscar Vazquez, Giacomo De Marco, Nathaly Gavira, Marcia Bartucz, Christina N Steiger, Romain Dayer, Dimitri Ceroni, Paediatric Orthopaedics Unit, Geneva Children’s Hospital, Geneva University Hospitals, Geneva 1211, Switzerland
Celine Habre, Paediatric Radiology Unit, Geneva Children’s Hospital, Geneva University Hospitals, Geneva 1211, Switzerland
Author contributions: Vazquez O analyzed the data and wrote the manuscript; and all authors have read and approved the final manuscript.
Informed consent statement: We, the authors, consent to the publication of identifiable details, which can include photographs and/or videos and/or case history and/or details within the text (“Material”) to be published in the above Journal and Article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dimitri Ceroni, MD, Professor, Paediatric Orthopaedics Unit, Geneva Children’s Hospital, Geneva University Hospitals, Rue Willy-Donze 6, Geneva 1211, Switzerland. dimitri.ceroni@hcuge.ch
Received: February 28, 2023
Peer-review started: February 28, 2023
First decision: March 28, 2023
Revised: April 11, 2023
Accepted: May 15, 2023
Article in press: May 15, 2023
Published online: July 16, 2023
Processing time: 133 Days and 15.1 Hours
Abstract
BACKGROUND

Staphylococcus caprae (S. caprae) is a human commensal bacterium which can be detected in the nose, nails, and skin. It can be responsible for heterogeneous infections such as bacteremia, endocarditis, pneumonia, acute otitis externa, peritonitis, and urinary tract infections. Bone and joint infections due to S. caprae have also been reported, but most of them resulted from the infection of orthopedic devices, especially joint prostheses and internal osteosynthesis devices. Rare cases of primary osteoarticular infections caused by S. caprae have been described, including osteitis, arthritis, or spondylodiscitis.

CASE SUMMARY

We report an unusual case of subacute osteomyelitis in a toe phalanx caused by S. caprae in a 14.5-year-old girl.

CONCLUSION

Subacute S. caprae osteomyelitis is a little-known and probably underestimated community-acquired infectious disease. This microorganism’s pathogenicity should be seen as more than a classic nosocomial orthopedic device infection.

Keywords: Subacute; Osteomyelitis; Staphylococcus caprae; Teenagers; Case report

Core Tip:Staphylococcus caprae (S. caprae) is a human commensal bacterium which can be detected in the nose, nails, and skin. It may be responsible for heterogenous infections such as bacteremia, endocarditis, pneumonia, acute otitis externa, peritonitis, and urinary tract infections. Bone and joint infections due to S. caprae have also been reported but most of them resulted from orthopedic device infections, including above all joint prosthesis infections and internal osteosynthesis device infections. Only any rare cases of primary osteoarticular infections caused by S. caprae have been described and consisted in osteitis, arthritis, or spondylodiscitis. We report here the case of an unusual subacute osteomyelitis of a toe phalanx caused by S. caprae in a 14.5-year-old girl.