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Osteomyelitis and intervertebral discitis caused by Pseudomonas pickettii

W A Wertheim1, D M Markovitz

  • 1Department of Internal Medicine, University of Michigan School Medicine, Ann Arbor 48109-0680.

Journal of Clinical Microbiology
|September 1, 1992
PubMed

Insights

Pseudomonas pickettii, a rare pathogen, caused severe vertebral osteomyelitis and discitis in an immunocompromised patient. This case highlights its potential for invasive infection beyond mere contamination events.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Clinical Case Study

Background:

  • Pseudomonas pickettii is a Gram-negative bacterium typically associated with rare, non-invasive infections.
  • Previous P. pickettii infections were often linked to contaminated medical supplies.
  • The pathogenicity of P. pickettii in invasive disease remains under-recognized.

Observation:

  • A case of vertebral osteomyelitis and intervertebral discitis is presented.
  • The infection was caused by the bacterium Pseudomonas pickettii.
  • The affected patient was debilitated with weakened immunity due to underlying disease.

Findings:

  • Pseudomonas pickettii demonstrated an aggressive infection pattern.
  • The bacterium caused severe bone and disc infection in the spine.
  • This indicates P. pickettii can be a significant invasive pathogen.

Implications:

  • The findings suggest P. pickettii may be more invasive than previously understood.
  • Immunocompromised individuals are at higher risk for severe P. pickettii infections.
  • Clinical awareness of P. pickettii's invasive potential is crucial for timely diagnosis and treatment.

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