title: Epidural abscess caused by Haemophilus aphrophilus misidentified as Pasteurella species.
abstract: Haemophilus aphrophilus is one of the normal oropharyngeal flora and rarely implicated as a pathogen of spinal infection. A case of H. aphrophilus bacteremia complicated with epidural abscess, psoas muscle abscess, and spondylodiscitis is described in this report. The pathogen was mis-identified as Pasteurella spp. at the very start, and was confirmed by the molecular method. He was successfully treated with adequate antibiotics and surgery. The clinical features of sixteen previously reported cases of spinal infection caused by H. aphrophilus are reviewed.
authors.affiliation: Department of Orthopedics, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, ROC.
authors.forename: Jui-Teng
authors.initials: JT
authors.lastname: Chien
authors.forename: Cuang-Huey
authors.initials: CH
authors.lastname: Lin
authors.forename: Yu-Chuan
authors.initials: YC
authors.lastname: Chen
authors.forename: Chorng-Jang
authors.initials: CJ
authors.lastname: Lay
authors.forename: Chun-Lung
authors.initials: CL
authors.lastname: Wang
authors.forename: Chen-Chi
authors.initials: CC
authors.lastname: Tsai
mesh_terms: D000368:Aged; D003951:Diagnostic Errors; D015299:Discitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D020802:Epidural Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology* / Q000601:surgery; D006190:Haemophilus / Q000145:classification / Q000302:isolation & purification / Q000472:pathogenicity*; D006192:Haemophilus Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D006801:Humans; D008297:Male; D010325:Pasteurella / Q000145:classification / Q000302:isolation & purification; D015661:Pasteurellaceae / Q000145:classification / Q000302:isolation & purification; D016871:Pasteurellaceae Infections / Q000209:etiology / Q000382:microbiology; D016659:Psoas Abscess / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology / Q000601:surgery; D013045:Species Specificity