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[Pneumococcal spondylodiscitis. A case report]
X Vandemergel1, M Richet, A Göcmen
1Service de Pneumologie, Hôpital de Warquignies, Boussu.
Abstract:
We report on a case of a 66 years-old patient suffering weight loss and lumbar pain, localized at L2-L3. A spondylodiscitis was revealed by CT and MRI; intervertebral disc puncture was positive for Pneumococcus Pneumoniae. The clinical evolution was good with the anti-bacterial treatment, while the patient developed a synostosis L2-L3. Incidence, bacteriology, imaging and therapy of spondylodicitis are discussed.
Insights
A 66-year-old patient with weight loss and lumbar pain was diagnosed with spondylodiscitis caused by Pneumococcus Pneumoniae. Successful antibiotic treatment led to recovery and L2-L3 spinal fusion (synostosis).
Area of Science:
- Spinal infectious diseases
- Radiology
- Infectious disease
Background:
- Spondylodiscitis is an infection of the intervertebral disc and adjacent vertebral bodies.
- Commonly caused by bacteria, it presents with back pain and can lead to vertebral damage.
- Prompt diagnosis and treatment are crucial to prevent complications.
Observation:
- A 66-year-old patient presented with weight loss and lumbar pain at L2-L3.
- CT and MRI confirmed spondylodiscitis.
- Intervertebral disc puncture identified Pneumococcus Pneumoniae as the causative agent.
Findings:
- The patient received anti-bacterial treatment, resulting in a good clinical outcome.
- A notable complication was the development of L2-L3 synostosis (bony fusion).
- This case highlights the infectious etiology and potential sequelae of spondylodiscitis.
Implications:
- Effective antibiotic therapy is key for managing bacterial spondylodiscitis.
- Spinal fusion (synostosis) can be a long-term consequence of severe discitis.
- Understanding the incidence, bacteriology, imaging, and therapy of spondylodiscitis is vital for clinical practice.