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2016
- doi: 10.1186/s12879-016-1471-9
- issn: 1471-2334
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Therapy Thoracic spine Dorsal vertebrae Vertebrae thoracicae Vertebrae, Thoracic Treatments for diseases Medical treatment Therapy Treatment of diseases Streptococci People Man Humanity (Human beings) Human race Mankind Homo sapiens Humankind Humans MRI (Magnetic resonance imaging) NMR imaging Medical magnetic resonance imaging Diagnostic magnetic resonance imaging Functional magnetic resonance imaging Clinical magnetic resonance imaging Nuclear magnetic resonance imaging MR imaging Nuclear magnetic resonance--Diagnostic use Imaging, Magnetic resonance Case Oesophagus Carcinoma Cancers Malignancy (Cancer) Malignant tumors Diseases--Magnetic resonance imagingCiter ce document
A. Giger et al., « Polymicrobial vertebral osteomyelitis after oesophageal biopsy: a case report. », Serveur académique Lausannois, ID : 10.1186/s12879-016-1471-9
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BACKGROUND: While most cases of polymicrobial vertebral osteomyelitis are secondary to hematogenous seeding, direct inoculation during spinal surgery and contiguous spread from adjacent soft tissue are also potential routes whereby pathogens may infect the spine. CASE PRESENTATION: A 74 year-old man presented with an exacerbation of back pain after a fall. His past medical history included hepatocellular and oesophageal carcinoma. Three months earlier he had undergone an endoscopic biopsy of the oesophagus for routine follow-up of his oesophagus carcinoma. He also underwent a vertebroplasty due to suspected pathologic fracture. On admission to hospital, magnetic resonance imaging revealed an infiltrative process at the level of the 5th and 6th thoracic vertebrae. Blood cultures were positive for both Streptococcus mitis and Gemella morbillorum. During his course of antibiotic therapy he developed an abscess at the level of 8th thoracic vertebrae and culture of this abscess grew Candida albicans. He was treated with antibiotics and antifungal drugs and recovered fully. CONCLUSION: Vertebral osteomyelitis may be caused by direct spread following an oesophageal procedure. Microbiological diagnosis is essential to target the specific pathogen, especially in cases of polymicrobial infection.