Spondylodiscitis due to Bacteroides fragilis: two cases and review.
Non-iatrogenic spondylodiscitis caused by anaerobic bacteria remains exceptional. We describe 2 cases of spondylodiscitis with epidural abscess due to Bacteroides fragilis, 1 after colonoscopy with biopsy and 1 in a cirrhotic patient. The clinical and imaging findings were not discriminant relative to other pyogenic spondylodiscitis. One should consider B. fragilis when treating a spondylodiscitis with epidural abscess, especially in patients with a possibly digestive portal of entry.
Lechiche
C
C
Service de Maladies Infectieuses et Tropicales, CHU Gui de Chauliac, Montpellier, France. clechiche@free.fr
Le Moing
V
V
Marchandin
H
H
Chanques
G
G
Atoui
N
N
Reynes
J
J
D000038:Abscess / Q000382:microbiology; D000368:Aged; D001442:Bacteroides Infections / Q000382:microbiology; D001441:Bacteroides fragilis / Q000302:isolation & purification*; D002574:Cervical Vertebrae / Q000382:microbiology*; D015299:Discitis / Q000382:microbiology*; D020802:Epidural Abscess / Q000382:microbiology*; D006801:Humans; D008159:Lumbar Vertebrae / Q000382:microbiology*; D008297:Male; D008875:Middle Aged