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Pyogenic vertebral osteomyelitis caused by Campylobacter fetus subspecies fetus. A case report
K Yamashita1, Y Aoki, K Hiroshima
1Department of Orthopaedics, Osaka National Hospital, Japan. yamakazu@onh.go.jp
Study Design:
Clinical observation of a patient.
Objectives:
To present the clinical features of an unusual infection of the spine caused by Campylobacter fetus subspecies fetus and to suggest treatment.
Summary Of Background Data:
This is only the second reported case of pyogenic vertebral osteomyelitis caused by Campylobacter fetus subspecies fetus.
Methods:
A 66-year-old man had pain of the left lower extremity. Radiologic examination revealed an epidural mass associated with destruction of the L5-S1 vertebral bodies.
Results:
Biopsy of the epidural mass was performed, and culture yielded Campylobacter fetus subspecies fetus. After intravenous antibiotics, oral doxycycline and erythromycin were given for 5 months. At 9 months after antibiotic treatment was completed, the patient's condition was stable.
Conclusions:
Prolonged oral administration of doxycycline and erythromycin was curative in this patient.
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