title: Epidural abscess caused by Veillonella parvula: Case report and review of the literature.
abstract: Veillonella parvula, an anaerobic, Gram-negative coccus is part of the normal flora of the oral, gastrointestinal, respiratory, and genitourinary tracts in humans and animals. We herein present a case of epidural abscess caused by V. parvula in a 68-year-old man with sinus squamous cell carcinoma who presented with a 3-week history of low back pain. Blood and pus cultures were positive for Veillonella spp. After sequencing of the 16S ribosomal DNA, the pathogen was identified as V. parvula. Surgical debridement was performed following which the patient received intravenous administration of amoxicillin/clavulanate. To our knowledge, there are only seven reported cases of spinal infection caused by Veillonella spp. and these are reviewed here.
authors: Department of Medicine, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan.
authors: Yen-Chun
authors: YC
authors: Chen
authors: Department of Medicine, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan.
authors: Ping-Hung
authors: PH
authors: Ko
authors: Department of Orthopedics, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan.
authors: Chang-Jen
authors: CJ
authors: Yang
authors: Department of Clinical Pathology, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan.
authors: Yu-Chuan
authors: YC
authors: Chen
authors: Department of Medicine, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan.
authors: Chorng-Jang
authors: CJ
authors: Lay
authors: Department of Medicine, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan.
authors: Chen-Chi
authors: CC
authors: Tsai
authors: Department of Orthopedics, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan. Electronic address: antibody_1@msn.com.
authors: Min-Hong
authors: MH
authors: Hsieh
mesh_terms: D000328:Adult; D000368:Aged; D000658:Amoxicillin / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002294:Carcinoma, Squamous Cell; D019818:Clavulanic Acid / Q000627:therapeutic use*; D020802:Epidural Abscess / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D014678:Veillonella / Q000235:genetics / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D012336:RNA, Ribosomal, 16S; D019818:Clavulanic Acid; D000658:Amoxicillin
keywords: Veillonella parvula; bacteremia; epidural abscess