An unusual appearance of discitis due to gas-forming Escherichia coli with associated pneumocephalus.
METHODS
Case report.


OBJECTIVE
To report on an unusual case of isolated septic discitis, meningitis, pneumocephalus, and solid organ abscesses associated with urosepsis from gas-producing Escherichia coli.


BACKGROUND
Isolated septic discitis, or disc infection without involvement of adjacent vertebrae, following E. coli urosepsis is an unusual finding in the adult population and to our knowledge has not been reported previously.


METHODS
The clinical manifestations and imaging findings of a patient with a history of back pain are described. The significance of the reported case is discussed.


RESULTS
Laboratory finding and imaging studies revealed a Gram-negative sepsis associated with meningitis, discitis, pneumocephalus, and solid organ abscesses. Due to widespread involvement of multiple organs, the infection remained refractory to treatment, and the patient died.


CONCLUSIONS
Our report adds to the literature by describing an unusual appearance of spine infection in an adult. Furthermore, it emphasizes the importance of a systematic approach to the diagnosis and treatment of low back pain.
Department of Radiology, Section of Neuroradiology, Northwestern University, Chicago, IL, USA. a-lasboo@northwestern.edu
Anahita
A
Aghaei Lasboo
Matthew T
MT
Walker
Tarek A
TA
Hijaz
D000369:Aged, 80 and over; D015299:Discitis / Q000175:diagnosis* / Q000209:etiology; D004926:Escherichia coli / Q000302:isolation & purification* / Q000378:metabolism; D004927:Escherichia coli Infections / Q000150:complications* / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D005740:Gases / Q000378:metabolism; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D011007:Pneumocephalus / Q000150:complications*; D011859:Radiography
D005740:Gases