ABSTRACT
A 76-year-old woman presented following two episodes of unexplained falls at home. Blood cultures were positive for Bacteroides fragilis and following investigations she was diagnosed with L4/L5 spondylodiscitis confirmed on spine MRI. She was initially treated with intravenous metronidazole and flucloxacillin prior to switching to ceftriaxone with good results. No primary cause of B. fragilis bacteraemia was found in this case. B. fragilis is a rare cause of spondylodiscitis.
Subject(s)
Bacteroides Infections/diagnosis , Bacteroides fragilis/isolation & purification , Discitis/diagnosis , Lumbar Vertebrae , Accidental Falls , Aged , Anti-Bacterial Agents/therapeutic use , Bacteroides Infections/diagnostic imaging , Bacteroides Infections/drug therapy , Ceftriaxone/therapeutic use , Diagnosis, Differential , Discitis/diagnostic imaging , Discitis/drug therapy , Female , Humans , Magnetic Resonance ImagingABSTRACT
Pneumococcal peritonitis is prevalent in children and adults with comorbidities but extremely rare in healthy adults. Here we describe a case of pneumococcal peritonitis in a previously healthy woman with no known risk factors who presented with constipation, abdominal pain, and distention. Her only past medical history was an uncomplicated C-section two months prior to presentation. A laparotomy revealed a pneumococcal peritonitis without visible source of infection. The patient remained hospitalized until completion of antibiotic regimen with Ceftriaxone and resolution of symptoms. This report adds to the small body of evidence showing possible pneumococcal peritonitis in healthy young adults.
