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[Spondylodiscitis caused by Enterococcus: an unusual entity]

F García1, A Fernández-Solà, A M García Quintana

  • 1Unitat de Malalties Infeccioses, Hospital General Vall d'Hebron, Universitat Autònoma, Barcelona.

Enfermedades Infecciosas Y Microbiologia Clinica
|October 1, 1995
PubMed
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Enterococcus spondylodiscitis is rare. Two cases treated successfully with antibiotics highlight this unusual spinal infection, offering insights into its management.

Area of Science:

  • Infectious Diseases
  • Spinal Infections
  • Microbiology

Background:

  • Spondylodiscitis caused exclusively by Enterococcus is exceptionally rare, with limited documented cases.
  • Enterococcal infections, though common in other contexts, are infrequently implicated as the sole causative agent in spinal infections.

Observation:

  • Two distinct cases of Enterococcus spondylodiscitis were diagnosed and managed within the authors' department.
  • Case 1 involved spondylodiscitis secondary to endocarditis with lumbosacral involvement and an epidural inflammatory mass.
  • Case 2 presented as spondylodiscitis originating from a urinary tract infection, also affecting the lumbosacral region.

Findings:

  • Both patients presented with clinical and radiological evidence of lumbosacral spondylodiscitis.

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  • Treatment with antibiotics alone resulted in a favorable clinical outcome for both individuals.
  • No surgical intervention was required, and antibiotic therapy proved sufficient for resolution.

    • Implications:

    • This case series contributes to the limited understanding of Enterococcus as a causative agent in spondylodiscitis.
    • The findings suggest that antibiotic therapy alone may be a viable treatment strategy for select cases of Enterococcus spondylodiscitis.
    • Further research is warranted to establish definitive treatment guidelines for this uncommon condition.