Vertebral osteomyelitis and epidural abscesses caused by Prevotella oralis: a case report
Braz. j. infect. dis
;
16(6): 594-596, Nov.-Dec. 2012. ilus, tab
Article
in English
| LILACS
| ID: lil-658931
ABSTRACT
An interesting case of pyogenic vertebral osteomyelitis with multiple epidural abscesses caused by non-pigmented Prevotella oralis is reported. The patient was a 68-year-old female who presented to the emergency room (ER) with severe pain and tenderness in her lower back with fever. She had recently undergone esophagogastroduodensoscopy (EGD) for complaints of esophageal reflux, which showed submucosal cyst in the esophagus. Magnetic resonance imaging (MRI) of the thoracic spine revealed multiple spinal epidural abscesses with signal enhancement at the level of T6 and T7, suggestive of vertebral osteomyelitis. Two blood cultures drawn one hour apart grew Prevotella oralis. The body fluid aspirated from the abscesses was also positive for the anaerobic commensal P. oralis. Necrosis associated with the submucosal cyst was implicated as the cause of sepsis and osteomyelitis due to this organism.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Osteomyelitis
/
Spinal Diseases
/
Thoracic Vertebrae
/
Bacteroidaceae Infections
/
Prevotella
/
Epidural Abscess
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2012
Type:
Article
Affiliation country:
United States
Institution/Affiliation country:
Wyckoff Heights Medical Center/US
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