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Updated: Jul 7, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

Bacteraemic spondylodiscitis caused by Enterococcus hirae.

E Canalejo¹, R Ballesteros, J Cabezudo

¹Department of Internal Medicine, Hospital de Fuenlabrada, Camino del Molino, 2, 28942, Fuenlabrada, Madrid, Spain. ecanalejo@jazzfree.com

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology

|February 29, 2008

Summary

Enterococcus hirae is a rare cause of human infection. This report details the first case of E. hirae spondylodiscitis with associated abscesses, highlighting the need for awareness of this pathogen.

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Last Updated: Jul 7, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

Area of Science:

Infectious Diseases
Microbiology
Clinical Medicine

Background:

Enterococcus hirae is a bacterium typically found in animals, rarely causing human infections.
Human infections with E. hirae are exceptionally uncommon, with limited documented cases.
Spondylodiscitis, an infection of the spine and intervertebral discs, can have severe complications.

Observation:

A 55-year-old male patient with diabetes mellitus presented with symptoms suggestive of spinal infection.
Diagnostic imaging revealed spondylodiscitis complicated by an anterior epidural abscess and multiple psoas abscesses.
Cultures identified the causative agent as Enterococcus hirae.

Findings:

This case represents the first documented instance of Enterococcus hirae causing spondylodiscitis in a human.
The patient required surgical intervention despite receiving appropriate antimicrobial treatment.
This finding expands the known spectrum of human infections caused by E. hirae.

Implications:

Clinicians should consider Enterococcus hirae in the differential diagnosis of rare spinal infections, particularly in immunocompromised patients.
This case underscores the importance of microbiological identification for guiding effective treatment strategies.
Further research is needed to understand the pathogenicity and clinical manifestations of E. hirae in humans.