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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Osteomielite
/
Doenças da Coluna Vertebral
/
Vértebras Torácicas
/
Infecções por Bacteroidaceae
/
Prevotella
/
Abscesso Epidural
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
2012
Tipo de documento:
Artigo
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
Wyckoff Heights Medical Center/US
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