Vertebral discitis caused by Lactobacillus infection

• Tsukamoto, Ichiro

• Ikeda, Terumasa

• Akagi, Masao

抄録

[Abstract] We presented the case of a 79-year-old man who complained of severe back pain and lower leg muscular weakness. He was a compromisedhost with type 2 diabetes and had been administrated many antibiotics, including vancomycin and antibiotic-resistant Lactobacillus preparation for cholangitis and aspiration pneumonia. MRI scans revealed prevertebral fluid collection and vertebral discitis between third and fourth lumbar vertebrae (L3/4) and L4/5. We performed X-ray guided needle aspiration and lavage in the discs of L3/4 and L4/5. Only Lactobacillus sp. was isolated from the transparent fluids and the lavage fluids. C-reactive protein became negative within 17 days after the lavage. Muscle strength in the lower legs alsorecovered to manual muscle testing grade 5 in a month. This case showed that compromised hosts should be considered to be a risk for Lactobacillus infections in orthopedics.

Departmental Bulletin Paper

application/pdf

収録刊行物

• ACTA MEDICA KINKI UNIVERSITY

  ACTA MEDICA KINKI UNIVERSITY 39 (2), 127-130, 2014-12-01

  Kinki University Medical Association

キーワード

• Lactobacillus
• Vertebral discitis

詳細情報

• CRID: 1050282677516273536
• NII論文ID: 120005736849
• ISSN: 03866092
• Web Site: https://kindai.repo.nii.ac.jp/records/10593
• Web Site: https://search.jamas.or.jp/link/ui/2015382659
• 本文言語コード: en
• 資料種別: departmental bulletin paper
• データソース種別:
  • IRDB
  • CiNii Articles