K Yamashita1, Y Aoki, K Hiroshima. 1. Department of Orthopaedics, Osaka National Hospital, Japan. yamakazu@onh.go.jp
Abstract
STUDY DESIGN: Clinical observation of a patient. OBJECTIVES: To present the clinical features of an unusual infection of the spine caused by Campylobacter fetus subspecies fetus and to suggest treatment. SUMMARY OF BACKGROUND DATA: This is only the second reported case of pyogenic vertebral osteomyelitis caused by Campylobacter fetus subspecies fetus. METHODS: A 66-year-old man had pain of the left lower extremity. Radiologic examination revealed an epidural mass associated with destruction of the L5-S1 vertebral bodies. RESULTS: Biopsy of the epidural mass was performed, and culture yielded Campylobacter fetus subspecies fetus. After intravenous antibiotics, oral doxycycline and erythromycin were given for 5 months. At 9 months after antibiotic treatment was completed, the patient's condition was stable. CONCLUSIONS: Prolonged oral administration of doxycycline and erythromycin was curative in this patient.
STUDY DESIGN: Clinical observation of a patient. OBJECTIVES: To present the clinical features of an unusual infection of the spine caused by Campylobacter fetus subspecies fetus and to suggest treatment. SUMMARY OF BACKGROUND DATA: This is only the second reported case of pyogenic vertebral osteomyelitis caused by Campylobacter fetus subspecies fetus. METHODS: A 66-year-old man had pain of the left lower extremity. Radiologic examination revealed an epidural mass associated with destruction of the L5-S1 vertebral bodies. RESULTS: Biopsy of the epidural mass was performed, and culture yielded Campylobacter fetus subspecies fetus. After intravenous antibiotics, oral doxycycline and erythromycin were given for 5 months. At 9 months after antibiotic treatment was completed, the patient's condition was stable. CONCLUSIONS: Prolonged oral administration of doxycycline and erythromycin was curative in this patient.
Authors: Jenny S J Wong; Trevor P Anderson; Stephen T Chambers; Stephen L W On; David R Murdoch Journal: J Clin Microbiol Date: 2009-01-14 Impact factor: 5.948
Authors: Dennis Tappe; Marco H Schulze; Anett Oesterlein; Marianne Abele-Horn; Stefan Baron; Daniel Durchholz; Heinz-Jakob Langen; Berthold Jany; Christoph Schoen Journal: J Clin Microbiol Date: 2012-01-18 Impact factor: 5.948