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Infectious discitis caused by Enterobacter cloacae.

R Solans1, P Simeon, R Cuenca

  • 1Department of Internal Medicine, General Hospital of Vall d'Hebron, Barcelona, Spain.

Annals of the Rheumatic Diseases
|July 1, 1992
PubMed
Summary
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This study reports a rare case of vertebral osteomyelitis caused by Enterobacter cloacae, a Gram-negative bacterium. The patient recovered after treatment with trimethoprim and sulfamethoxazole.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Orthopedics

Background:

  • Vertebral osteomyelitis is a serious infection of the spine.
  • Enterobacter cloacae is a Gram-negative bacterium known to cause various infections.
  • Spondylodiscitis, an infection of the vertebrae and intervertebral discs, can have diverse etiologies.

Observation:

  • A patient presented with symptoms indicative of vertebral osteomyelitis.
  • Enterobacter cloacae was successfully isolated from blood and vertebral biopsy cultures.
  • The patient had no prior history of spinal infections or predisposing conditions for this specific presentation.

Findings:

  • This case represents the first documented instance of spondylodiscitis caused by Enterobacter cloacae.
  • Successful treatment was achieved using a combination of trimethoprim and sulfamethoxazole.

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  • The susceptibility of Enterobacter cloacae to this antibiotic regimen was confirmed.

    • Implications:

    • Highlights the potential for Enterobacter cloacae to cause vertebral osteomyelitis, expanding its known spectrum of infections.
    • Suggests trimethoprim-sulfamethoxazole as a viable treatment option for this rare condition.
    • Emphasizes the importance of considering Enterobacter cloacae in the differential diagnosis of vertebral infections, particularly in immunocompromised or hospitalized patients.