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Updated: Mar 1, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Spondylodiscitis in a healthy 12-year-old girl with Extraintestinal pathogenic Escherichia coli (ExPEC) bacteraemia
J Gaschignard1,2, G Geslain3,4, C Mallet5
1Service de Pédiatrie Générale, Hôpital Robert-Debré, Paris, France.
Background:
Escherichia coli (E. coli) is rarely implicated in bone or joint infections in children.
Case Presentation:
We discuss the case of a healthy 12-year-old girl with an E. coli bacteraemia and a T11-T12 spondylodiscitis revealed by magnetic resonance imaging. The strain harboured serogroup O1:K1 and virulence factors common to highly virulent extra intestinal pathogenic E. coli (ExPEC). Immunological work-up was normal.
Conclusion:
The identification of E. coli in a spondylodiscitis should lead to the search for immunosuppression of the host and virulence factors of the strain, particularly those of ExPEC.
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