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.
Department of Medicine, Saga Medical School, Nabeshima, Saga 849-8501, Japan. fukuoka@post.saga-med.ac.jp
Mami
M
Fukuoka
Katsuhiro
K
Aita
Yosuke
Y
Aoki
Shinichiro
S
Hayashi
Toshimi
T
Satoh
Takao
T
Hotokebuchi
Kohei
K
Nagasawa
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*