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JMM Case Reports

Volume 4, Issue 4

A case of polymicrobial anaerobic spondylodiscitis due to and Open Access

Abstract

Here, we present a case of polymicrobial anaerobic spondylodiscitis.

A forty-five year-old female patient was referred to a specialist orthopaedic hospital with an eight week history of back pain without fevers. X-ray imaging and magnetic resonance imaging showed acute osteomyelitis of the twelfth thoracic and first lumbar vertebrae. Prolonged enrichment cultures grew and , identified by matrix-assisted laser desorption ionisation-time of flight (MALDI-ToF) mass spectrometry (MS). The patient was successfully treated with six weeks of intravenous ertapenem and oral clindamycin.

Anaerobic discitis is rare, and polymicrobial discitis is rarer still. A PubMed literature review revealed only seven cases of discitis and only twelve cases of discitis; this includes only one other reported case of a polymicrobial discitis due to infection with both anaerobes. We emphasise the importance of prolonging enrichment culture and the use of fast yet accurate identification of anaerobes using MALDI-ToF MS in these infections.

  • Received:
  • Accepted:
  • Published Online:
Keyword(s): Fusobacterium nucleatum , MALDI-TOF , Parvimonas micra , polymicrobial discitis and spondylodiscitis
© 2017 The Authors
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2017-04-12
2024-04-23
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A case of polymicrobial anaerobic spondylodiscitis due to Parvimonas micra and Fusobacterium nucleatum
JMM Case Rep 4, e005092 (2017); https://doi.org/10.1099/jmmcr.0.005092
/content/journal/jmmcr/10.1099/jmmcr.0.005092
/content/journal/jmmcr/10.1099/jmmcr.0.005092
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