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Spondylodiscitis due to Aerococcus urinae: a first report.

L Astudillo1, L Sailler, L Porte

  • 1Department of Internal Medicine, University Hospital Purpan, 1 place du Dr Baylac, 31059 Toulouse, France. astudillo.l@chu-toulouse.fr

Scandinavian Journal of Infectious Diseases
|January 16, 2004
PubMed
Summary

Aerococcus urinae, an uncommon urinary tract pathogen, rarely causes severe infections. This report details the first documented case of Aerococcus urinae spondylodiscitis in an elderly patient.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Aerococcus urinae is an uncommon cause of urinary tract infections, primarily affecting elderly individuals with predisposing factors.
  • Severe infections are rare, with only 14 reported cases of Aerococcus urinae endocarditis.
  • Limited data exists on invasive infections beyond endocarditis.

Observation:

  • This study presents the first reported case of spondylodiscitis caused by Aerococcus urinae.
  • The affected patient was elderly and had underlying predisposing conditions.
  • The infection involved the spine and intervertebral discs.

Findings:

  • The patient received a 4-week course of amoxicillin and clindamycin.
  • Following the initial treatment, a 5-month course of amoxicillin alone was administered.

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  • The patient showed a positive response to the antibiotic therapy.

    • Implications:

    • This case expands the spectrum of known severe infections caused by Aerococcus urinae.
    • It highlights the importance of considering Aerococcus urinae in elderly patients with spondylodiscitis, especially with a history of urinary tract infections.
    • Effective treatment regimens involving amoxicillin and clindamycin can be utilized for this rare condition.