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Published on: December 4, 2020
Proteus mirabilis spondylodiscitis complicating a urinary tract infection
Jeroen P P Smits1, Henny G Peltenburg, Esther A N M Mooi-Kokenberg
1Department of Internal Medicine, Groene Hart Ziekenhuis, Gouda, The Netherlands. jeroen.smits@ghz.nl
Abstract:
Infectious spondylodiscitis results from local or haematogenous infection by microorganisms of intervertebral disc spaces, vertebral bodies and surrounding structures. Haematogenous invasion may follow urosepsis. We report on a case of septic spondylodiscitis following urosepsis with Proteus mirabilis, a frequently isolated microorganism in urinary tract infections but rarely in spondylodiscitis.
Insights
Septic spondylodiscitis, an infection of the spine, can arise from urinary tract infections. This case highlights Proteus mirabilis causing spinal infection after urosepsis.
Area of Science:
- Infectious Diseases
- Orthopedics
- Urology
Background:
- Infectious spondylodiscitis involves infection of the intervertebral disc spaces and vertebrae.
- Hematogenous spread is a common route for spinal infections, often originating from other sites like the urinary tract.
Observation:
- This report details a rare case of septic spondylodiscitis.
- The infection followed urosepsis, a serious bloodstream infection originating from a urinary tract infection.
Findings:
- The causative microorganism identified was Proteus mirabilis.
- Proteus mirabilis is a common cause of urinary tract infections but is infrequently implicated in spondylodiscitis.
Implications:
- This case underscores the importance of considering Proteus mirabilis in spinal infections, especially following urosepsis.
- Further research may elucidate the specific mechanisms and risk factors for Proteus mirabilis spondylodiscitis.
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