Epidural abscess caused by Haemophilus aphrophilus misidentified as Pasteurella species.
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.
Chien
Jui-Teng
JT
Department of Orthopedics, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, ROC.
Lin
Cuang-Huey
CH
Chen
Yu-Chuan
YC
Lay
Chorng-Jang
CJ
Wang
Chun-Lung
CL
Tsai
Chen-Chi
CC
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