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Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9

  • Orthopaedic Surgery
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Abstract

Here presented is an extremely rare case of a spinal osteomyelitis (L5–S1) with epidural empyema in a non-immunocompromised 62-year-old man caused by Yersinia enterocolitica O:9. The infection occurred acutely and required immediate surgical treatment. Y. enterocolitica was cultured from the empyema fluid, wound swabs of the intervertebral disc L5–S1 and stool cultures. Following the surgical decompression and antibiotic treatment, the patient recovered completely, without neurological deficits. A review of the literature revealed only sparse cases of spondylodiscitis due to other Y. enterocolitica serogroups. To our knowledge, we report here the first case of a spondylodiscitis of the lumbar spine caused by Y. enterocolitica serovar O:9 in a non-immunocompromised patient.

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References

  1. Bertschinger C, Frauchiger B (1997) Therapy-resistant lumbago. Praxis 86:356–360

    CAS  PubMed  Google Scholar 

  2. Cover TL, Aber RC (1989) Yersinia enterocolitica. N Engl J Med 321:16–24

    CAS  PubMed  Google Scholar 

  3. Crowe M, Ashford K, Ispahani P (1996) Clinical features and antibiotic treatment of septic arthritis and osteomyelitis due to Yersinia enterocolitica. J Med Microbiol 45:302–309

    Article  CAS  PubMed  Google Scholar 

  4. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ (2000) Hematogenous pyogenic spinal infections and their surgical management. Spine 25:1668–1679

    Article  CAS  PubMed  Google Scholar 

  5. Knapp W, Lysy J, Knapp C, Stille W, Goll U (1973) Clinic and diagnosis of enteritic infections in man by Yersinia enterocolitica. Infection 1:113–125

    Article  CAS  PubMed  Google Scholar 

  6. Mayrhofer S, Paulsen P, Smulders FJ, Hilbert F (2004) Antimicrobial resistance profile of five major food-borne pathogens isolated from beef, pork and poultry. Int J Food Microbiol 97:23–29

    Article  CAS  PubMed  Google Scholar 

  7. Saebø A, Nyland H, Lassen J (1993) Yersinia enterocolitica infection–An unrecognized cause of acute and chronic neurological disease? A 10-year-follow-up study on 458 hospitalized patients. Med Hypotheses 41:282–286

    Article  PubMed  Google Scholar 

  8. Sinnott JT, Multhopp H, Leo J, Rechtine G (1989) Yersinia enterocolitica causing spinal osteomyelitis and empyema in a nonimmunocompromised host. South Med J 82:399–400

    PubMed  Google Scholar 

  9. Strobel E, Heesemann J, Mayer G, Peters J, Müller-Weihrich S, Emmerling P (2000) Bacteriological and serological findings in a further case of transfusion-mediated Yersinia enterocolitica sepsis. J Clin Microbiol 38:2788–2790

    CAS  PubMed  Google Scholar 

  10. von Eckardstein K, Spuler A, Brauer C, Mehl M, Kiwit J (2004) Spontaneous cervical osteomyelitis due to Yersinia enterocolitica in a non-immunocompromised host. Eur J Clin Microbiol Infect Dis 23:66–68

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, University of Rostock, Doberaner Straße 142, 18057, Rostock, Germany

    Martin Ellenrieder, Rainer Bader & Wolfram Mittelmeier

  2. Department of Microbiology, Virology and Hygiene, University of Rostock, Schillingallee 70, 18055, Rostock, Germany

    Andreas E. Zautner & Andreas Podbielski

Authors
  1. Martin Ellenrieder
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  2. Andreas E. Zautner
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  3. Andreas Podbielski
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  4. Rainer Bader
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  5. Wolfram Mittelmeier
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Correspondence to Martin Ellenrieder.

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Ellenrieder, M., Zautner, A.E., Podbielski, A. et al. Spondylodiscitis of the lumbar spine in a non-immunocompromised host caused by Yersinia enterocolitica O:9. Arch Orthop Trauma Surg 130, 469–471 (2010). https://doi.org/10.1007/s00402-009-0921-x

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  • DOI: https://doi.org/10.1007/s00402-009-0921-x

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