Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9.
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.
Ellenrieder
Martin
M
Department of Orthopaedics, University of Rostock, Rostock, Germany. martin.ellenrieder@uni-rostock.de
Zautner
Andreas E
AE
Podbielski
Andreas
A
Bader
Rainer
R
Mittelmeier
Wolfram
W
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
D000900:Anti-Bacterial Agents