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Background: Population-based surveillance studies may underestimate osteomyelitis caused by Group B Streptococcus (GBS). We analyzed cases of GBS osteomyelitis, including patients diagnosed using an expanded case definition that incorporates cultures from non-sterile sites, as well as cultures from normally sterile sites.

Methods: We retrospectively examined a cohort of veterans with the diagnosis of osteomyelitis between 2008 and 2017.

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