Pyogenic vertebral osteomyelitis caused by Prevotella intermedia.
We describe a case of vertebral osteomyelitis caused by Prevotella intermedia, which is an extremely unusual cause of vertebral osteomyelitis. The organism was isolated from vertebral biopsies and the patient was treated successfully with intravenous ampicillin-sulbactam and clindamycin. Diagnosis and management of this condition are described, and the importance of anaerobic bacteria in the pathogenesis of vertebral osteomyelitis is discussed.
Fukuoka
Mami
M
Department of Medicine, Saga Medical School, Nabeshima, Saga 849-8501, Japan. fukuoka@post.saga-med.ac.jp
Aita
Katsuhiro
K
Aoki
Yosuke
Y
Hayashi
Shinichiro
S
Satoh
Toshimi
T
Hotokebuchi
Takao
T
Nagasawa
Kohei
K
D001707:Biopsy, Needle; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D018713:Prevotella intermedia / Q000302:isolation & purification*; D013122:Spinal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*