Acinetobacter baumannii Induced Pyogenic L1-L2 Spondylodiscitis

Journal of Case Reports

article

Vineesh Mathur¹  Dharmendra Singh¹  Mohammad Zahid Khan¹  Swetabh Verma¹ 

[1]Bone and Joints Institute

关键词: Acinetobacter baumannii;    Anti-Bacterial Agents;    Back Pain;    Biopsy;    Debridement;    Discitis;    Endoscopy;    Suppuration.;   

DOI  :  10.17659/01.2021.0020

学科分类：生理学

来源: Journal of Case Reports

【 摘 要 】

Background: Axial back pain is primary presentation of infective spondylodiscitis due to which diagnosis is easily missed, especially in the absence of fever, or in patients admitted in intensive care unit with poor general condition. Prompt diagnosis established by biopsy helps to initiate guided antibiotics, thereby preventing further morbidity and mortality. Case Report: We present a rare such case of spondylodiscitis occurring at L1-L2 disc space due to Acinetobacter baumannii, which was initially undiagnosed due to absence of clinically suggestive symptoms. An endoscopic disc space debridement, evacuation of pus, lavage and biopsy was performed subsequently. Conclusion: The case highlights the importance of having a strong suspicion of spondylodiscitis in susceptible patients, even in the setting of minimal clinical symptoms and the invaluable role of imaging techniques along with culture and biopsy to identify the pathology.

【 授权许可】

Unknown