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Iatrogenically induced vertebral osteomyelitis due to Pseudomonas aeruginosa
X Chevalier1, C Lavabre, P Claudepierre
1Department of Rheumatology, Hôpital Henri-Mondor, Creteil, France.
Abstract:
We report three cases of iatrogenically induced vertebral osteomyelitis due to Pseudomonas aeruginosa. One case was a post-nucleotomy and post-operative complication of herniated disk treatment, one was related to infection of an epidural catheter in a patient suffering from rheumatoid arthritis and the third followed urinary investigation in a patient with prostate cancer. Infection was cured in all patients with antibiotic treatment. These case reports shed light on the possibility of infections with pseudomonas aeruginosa, in addition to the more common infections such as by staphylococci, especially following iatrogenic maneuvers.
Insights
Pseudomonas aeruginosa can cause iatrogenic vertebral osteomyelitis following medical procedures. Prompt antibiotic treatment successfully cured infections in three reported cases, highlighting this risk.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Nephrology
Background:
- Vertebral osteomyelitis is a serious bone infection.
- Iatrogenic causes, or those resulting from medical intervention, are increasingly recognized.
- Pseudomonas aeruginosa is an opportunistic pathogen.
Observation:
- Three cases of vertebral osteomyelitis caused by Pseudomonas aeruginosa following medical procedures are presented.
- Case 1: Post-nucleotomy and herniated disk surgery.
- Case 2: Epidural catheter infection in a rheumatoid arthritis patient.
- Case 3: Post-urinary investigation in a prostate cancer patient.
Findings:
- Pseudomonas aeruginosa can be an etiological agent of iatrogenic vertebral osteomyelitis.
- Infection occurred after diverse iatrogenic maneuvers, including surgical and catheter-related procedures.
- All three patients achieved cure with appropriate antibiotic therapy.
Implications:
- Highlights the potential for Pseudomonas aeruginosa to cause vertebral osteomyelitis, beyond more common pathogens like staphylococci.
- Emphasizes the importance of considering Pseudomonas aeruginosa in the differential diagnosis of vertebral osteomyelitis, especially after invasive procedures.
- Suggests vigilance for Pseudomonas aeruginosa infections in patients undergoing urological or spinal interventions.