1887

Abstract

Paraspinal abscesses are most commonly caused by and some Gram-negative bacteria. In developing countries, (MTB) contributes to almost 50 % of cases. Even in proven cases of tubercular paraspinal abscesses, secondary infection of aerobic or anaerobic bacteria is possible and should be carefully evaluated for proper management.

A type I diabetes mellitus patient presented with chronic backache and lower limb weakness and radiological investigations showed paraspinal collections suggestive of tuberculosis. The patient was then started on anti-tubercular drugs, she initially responded and then showed gradual deterioration in the form of increased pain, fever and pus discharge. Aerobic cultures of pus were sterile and anaerobic culture grew sensitive to metronidazole. Appropriate treatment had resulted in clinical improvement.

Suspicion about co-infection with aerobic or anaerobic bacteria should be high even in proven cases of tubercular paraspinal abscess not improving despite proper anti-tubercular therapy.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial License. The Microbiology Society waived the open access fees for this article.
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2021-08-03
2024-11-09
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References

  1. Gruenwald I, Abrahamson J, Cohen O. Psoas abscess: case report and review of the literature. J Urol 1992; 147:1624–1626 [View Article] [PubMed]
    [Google Scholar]
  2. Ricci MA, Rose FB, Meyer KK. Pyogenic psoas abscess: worldwide variations in etiology. World J Surg 1986; 10:834–843 [View Article] [PubMed]
    [Google Scholar]
  3. Chu A, Aung TT, Shankar U. Paraspinal and extensive epidural abscess: the great masqueraders of abdominal pain. Case Rep Neurol Med 2015; 2015:1–3 [View Article] [PubMed]
    [Google Scholar]
  4. Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev 2000; 23:175–204 [View Article] [PubMed]
    [Google Scholar]
  5. Bennett JE, Dolin R, Blaser. Mandell MJ. Douglas, and Bennett’s Principles and Practice of Infectious Diseases, 8th edn. Philadelphia: Elsevier Saunders; 2015
    [Google Scholar]
  6. Mallick IH, Thoufeeq MH, Rajendran TP. Iliopsoas abscesses. Postgrad Med J 2004; 80:459–462 [View Article] [PubMed]
    [Google Scholar]
  7. Hecht DW, Citron DM, Dzink-Fox J, Gregory WW, Jacobus N et al. Methods for Antimicrobial Susceptibility Testing of Anaerobic Bacteria; Approved Standard – Eighth Edition. CLSI document M11-A8. Clinical and Laboratory Standards Institute, 950 West Valley Road, Suite. Clin Lab Stand Inst 2012; 32:1–38
    [Google Scholar]
  8. Mückley T, Schütz T, Kirschner M, Potulski M, Hofmann G et al. Psoas abscess: the spine as a primary source of infection. Spine (Phila Pa 1976) 2003; 28:106–113 [View Article]
    [Google Scholar]
  9. Pertuiset E, Beaudreuil J, Lioté F, Horusitzky A, Kemiche F et al. Spinal tuberculosis in adults: A study of 103 cases in a developed country, 1980-1994. Medicine (Baltimore) 1999; 78:309–320 [View Article] [PubMed]
    [Google Scholar]
  10. Sinatra PM, Alander DH. Lemierre disease: A case with multilevel epidural abscess and aggressive neurological weakness: Case report and literature review. J Pediatr Orthop 2017; 37:e58–61 [View Article] [PubMed]
    [Google Scholar]
  11. Yoo LJH, Zulkifli MD, O’connor M, Waldron R. Parvimonas micra spondylodiscitis with psoas abscess. BMJ Case Rep 2019; 12:10–13 [View Article] [PubMed]
    [Google Scholar]
  12. Sawai T, Koga S, Ide S, Yoshioka S, Matsuo N et al. An iliopsoas abscess caused by Parvimonas micra: A case report. J Med Case Rep 2019; 13:19–21 [View Article] [PubMed]
    [Google Scholar]
  13. Williams A, Kerkering T. Prevotella osteomyelitis after dental capping procedure. IDCases 2017; 8:32–33 [View Article] [PubMed]
    [Google Scholar]
  14. Chandesris MO, Schleinitz N, Gayet S, Bernit E, Crebassa C et al. Abcès profonds à germes anaérobies de localisation inhabituelle: à propos de cinq cas [Anaerobic deep abscesses with unusual location: report of 5 cases]. Rev Med Interne 2005; 26:534–540 [View Article]
    [Google Scholar]
  15. Meyer RD, Finegold SM. Anaerobic infections: diagnosis and treatment. South Med J 1976; 69:1178–1195 [View Article] [PubMed]
    [Google Scholar]
  16. Dowell V, Hawkins T. Laboratory Methods in Anaerobic Bacteriology; CDC Laboratory Manual 1974
    [Google Scholar]
  17. Murdoch DA. Gram-positive anaerobic cocci; 1998; 1181–120
  18. Brook I, Walker R. Pathogenicity of anaerobic gram-positive cocci. Infect Immun 1984; 45:320–324 [View Article] [PubMed]
    [Google Scholar]
  19. Murphy EC, Frick IM. Gram-positive anaerobic cocci - commensals and opportunistic pathogens. FEMS Microbiol Rev 2013; 37:520–553 [View Article] [PubMed]
    [Google Scholar]
  20. Ezaki T, Kawamura Y, Li N, Li ZY, Zhao L et al. Proposal of the genera Anaerococcus gen. nov., Peptoniphilus gen. nov. and Gallicola gen. nov for members of the genus Peptostreptococcus. Int J Syst Evol Microbiol 2001; 51:1521–1528 [View Article] [PubMed]
    [Google Scholar]
  21. Fu WK, Wu WC, Ip FK. Concomitant tuberculosis and pyogenic infection of the cervical spine. A case report. Spine 1998; 23:139–143 [View Article] [PubMed]
    [Google Scholar]
  22. Mousa HAL. Concomitant spine infection with Mycobacterium tuberculosis and pyogenic bacteria: case report. Spine 2003; 28:E152–E154
    [Google Scholar]
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