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Degenerative Disc Disease ll: Pathophysiology01:23

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Updated: May 26, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
06:23

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

Published on: May 23, 2021

[Spondylodiscitis].

Filipa V Espada1, Pedro M Costa, A Leite Da Cunha

  • 1Serviços de Pediatria, Ortopedia e Infecciologia, Hospital Pedro Hispano - ULS Matosinhos.

Acta Medica Portuguesa
|January 10, 2012
PubMed
Summary
This summary is machine-generated.

A rare pediatric spondylodiscitis case caused by Oerskovia xanthineolytica was successfully treated. Early MRI and biopsy are crucial for diagnosing and monitoring this spinal infection in children.

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Area of Science:

  • Pediatric infectious diseases
  • Spinal infections
  • Microbiology

Background:

  • Spondylodiscitis is a rare but serious spinal infection, particularly in children.
  • Prompt diagnosis and appropriate treatment are essential to prevent long-term complications.

Observation:

  • A previously healthy 23-month-old female presented with refusal to walk and back pain after a fall.
  • Initial symptoms improved with NSAIDs but recurred upon discontinuation.
  • Physical examination revealed limited lumbar flexion and loss of lordosis, with elevated ESR and MRI findings suggestive of spondylodiscitis.

Findings:

  • Infectious spondylodiscitis was suspected, and empirical anti-tuberculosis therapy was initiated.
  • Oerskovia xanthineolytica was identified via intervertebral needle biopsy four months after symptom onset.
  • Treatment included a year of anti-tuberculosis medication, IV ceftriaxone, oral cefuroxime, and spinal immobilization.

Implications:

  • This case highlights Oerskovia xanthineolytica as a potential pathogen in pediatric spondylodiscitis.
  • Magnetic Resonance Imaging (MRI) and intervertebral needle biopsy are vital diagnostic tools.
  • ESR and MRI are valuable for monitoring treatment response in spinal infections.