Enterococcus osteomyelitis secondary to pyelonephritis.
We report a case of enterococcus lumbar osteomyelitis that developed after post-operative pyelonephritis. A 78-year-old G2P2 with Stage III uterovaginal prolapse and genuine stress urinary incontinence who underwent laparoscopic-assisted vaginal hysterectomy, high uterosacral ligament suspension, tension-free vaginal tape-obturator approach, and cystoscopy presented with post-operative back pain. Work-up of her back pain revealed enterococcus pyelonephritis. She continued to have back pain despite outpatient antibiotic treatment and further work-up revealed enterococcus lumbar osteomyelitis at the level of L1-L2. Enterococcus vertebral osteomyelitis is a rare infection that can occur by hematogenous spread from an infection of the urinary tract.
Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, Tufts Medical Center, Boston, MA, USA. kown@ccf.org
Nathan
N
Kow
Tanaz R
TR
Ferzandi
D000368:Aged; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008159:Lumbar Vertebrae; D010019:Osteomyelitis / Q000382:microbiology*; D011183:Postoperative Complications / Q000382:microbiology*; D011704:Pyelonephritis / Q000150:complications* / Q000382:microbiology