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Vertebral osteomyelitis is a common pathology affecting the spine. We present the case of a 46-year-old male who was diagnosed with progressive L2 vertebral osteomyelitis due to a rare pathogen,  Granulicatella adiacens .  Granulicatella adiacens  is part of the normal body flora and is often difficult to culture on traditional mediums. The patient required a lateral corpectomy and posterior fixation for spinal stabilization and source control.

Vertebral Osteomyelitis Due to Granulicatella Adiacens, a Nutritionally Variant Streptococci