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Eikenella Corrodens Vertebral Osteomyelitis in a Young Patient With Type I Diabetes Mellitus

Kushal Ranabhat1, Sabita Bhatta2, Raj Kumar Bhatta3

  • 1Internal Medicine, Hurley Medical Center, Flint, USA.

Cureus
|September 9, 2020
PubMed

Insights

This case study highlights Eikenella corrodens as a rare cause of vertebral osteomyelitis in a diabetic patient. Prompt diagnosis and surgical intervention led to successful treatment with antibiotics.

Area of Science:

  • Infectious Diseases
  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Vertebral osteomyelitis is a rare bone infection, typically caused by Staphylococcus or Streptococcus.
  • Alternative pathogens are increasingly recognized, particularly in endemic regions or in immunocompromised individuals.

Observation:

  • A young African American female with type 1 diabetes presented with severe back pain.
  • MRI revealed lumbar vertebral osteomyelitis affecting L5-S1 facet joints, with a thecal sac narrowing and epidural abscess at L4-L5.

Findings:

  • Surgical intervention included L4-L5 laminectomy and abscess removal.
  • Pus cultures identified Eikenella corrodens as the causative agent of vertebral osteomyelitis.
  • The patient recovered fully after a two-week course of intravenous ceftriaxone.

Implications:

  • This case underscores the importance of considering unusual pathogens in vertebral osteomyelitis, especially in patients with diabetes.
  • Early diagnosis and combined surgical and antibiotic treatment are crucial for favorable outcomes.
  • Highlights Eikenella corrodens as a potential pathogen in vertebral osteomyelitis, necessitating tailored treatment strategies.
Keywords:
case reportdiabetes mellituseikenella corrodensosteomyelitisspinetype ivertebra

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