title: Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9.
abstract: Here presented is an extremely rare case of a spinal osteomyelitis (L5-S1) with epidural empyema in a non-immunocompromised 62-year-old man caused by Yersinia enterocolitica O:9. The infection occurred acutely and required immediate surgical treatment. Y. enterocolitica was cultured from the empyema fluid, wound swabs of the intervertebral disc L5-S1 and stool cultures. Following the surgical decompression and antibiotic treatment, the patient recovered completely, without neurological deficits. A review of the literature revealed only sparse cases of spondylodiscitis due to other Y. enterocolitica serogroups. To our knowledge, we report here the first case of a spondylodiscitis of the lumbar spine caused by Y. enterocolitica serovar O:9 in a non-immunocompromised patient.
authors: Department of Orthopaedics, University of Rostock, Rostock, Germany. martin.ellenrieder@uni-rostock.de
authors: Martin
authors: M
authors: Ellenrieder
authors: Andreas E
authors: AE
authors: Zautner
authors: Andreas
authors: A
authors: Podbielski
authors: Rainer
authors: R
authors: Bader
authors: Wolfram
authors: W
authors: Mittelmeier
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019299:Decompression, Surgical; D015299:Discitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004824:Epidural Space; D006801:Humans; D007121:Immunocompetence; D008159:Lumbar Vertebrae / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D015009:Yersinia Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D015008:Yersinia enterocolitica
chemical_list: D000900:Anti-Bacterial Agents