title: Bifocal cervical spondylodiscitis due to Citrobacter diversus.
abstract: Spondylodiscitis due to Citrobacter diversus is rare. An unusual case of bifocal cervical spondylodiscitis following transurethral prostatectomy is reported. C. diversus was detected by urinary cultures and locally by intervertebral disc puncture. Satisfactory recovery occurred after treatment with imipenem and amikacin, and then imipenem alone. Citrobacter infections are still rare in adults but are increasing in immunocompromised patients and sometimes occur in healthy subjects following surgery.
authors.affiliation: Service de Médecine Interne, Hôpital Carémeau, Nimes, France.
authors.forename: A
authors.initials: A
authors.lastname: Sotto
authors.forename: J C
authors.initials: JC
authors.lastname: Bernard
authors.forename: C
authors.initials: C
authors.lastname: Brunschwig
authors.forename: D
authors.initials: D
authors.lastname: Blin
authors.forename: F M
authors.initials: FM
authors.lastname: Lopez
authors.forename: B
authors.initials: B
authors.lastname: Combe
mesh_terms: D000368:Aged; D002574:Cervical Vertebrae; D002954:Citrobacter / Q000145:classification; D015299:Discitis / Q000382:microbiology*; D004352:Drug Resistance, Microbial; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects; D014552:Urinary Tract Infections / Q000150:complications* / Q000188:drug therapy