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Unusual cause of infective discitis in an adolescent
M K Sayana1, A J Chacko, R C Mc Givney
1Department of Orthopaedics, Fairfield General Hospital, Rochdale Old Road, Bury, Lancashire BL9 7TA, UK. sayanamk@hotmail.com
Abstract:
The first case of infective discitis caused by Eikenella corrodens in an adolescent is presented. The need for anaerobic cultures when dealing with infective pathology in the spine is stressed. A 14 year old boy presented with acute exacerbation of back pain, which showed characteristics of infective discitis after magnetic resonance imaging. Computed tomography guided biopsy grew E corrodens in anaerobic cultures that was sensitive to ampicillin, co-amoxiclav, cefadroxil, and cefotaxime. This patient responded well to co-amoxiclav and recovered without any surgical intervention.