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Updated: Jun 24, 2026
06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Spondylodiscitis and infectious endocarditis: a round-trip to be considered
Daniela Calderaro1, Danielle Menosi Gualandro, Pai Ching Yu
1Heart Institute (InCor), University of São Paulo Medical School, São Paulo, SP, Brazil. daniela.calderaro@incor.usp.br
Summary
This case study highlights spondylodiscitis complicating endocarditis, emphasizing the need for extended antibiotic therapy. Early diagnosis is crucial for managing this rare association.
Area of Science:
- Infectious Diseases
- Cardiology
- Neurosurgery
Background:
- The association between spondylodiscitis and endocarditis, first described in 1965, typically presents with musculoskeletal symptoms preceding endocarditis.
- While musculoskeletal symptoms often precede endocarditis, this case details spondylodiscitis developing late in the course of established endocarditis.
Observation:
- A 70-year-old male with mitral valve endocarditis (Streptococcus intermedius) developed severe back pain on day 12 of antibiotic therapy.
- Clinical presentation included intensive backache and lumbar vertebral tenderness, suggestive of spondylodiscitis.
Findings:
- Magnetic resonance imaging confirmed spondylodiscitis.
- Treatment involved non-steroidal anti-inflammatory drugs, analgesics, and a prolonged antibiotic course of 3 months.
Implications:
- Prompt diagnosis of spondylodiscitis complicating endocarditis is essential for effective management.
- This association necessitates extended antibiotic treatment, potentially ranging from 6 weeks to 3 months, to ensure favorable outcomes.
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