Volume 130, Number 4, 469-471, DOI: 10.1007/s00402-009-0921-x

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German Speaking Arthroscopy Association

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

Martin Ellenrieder, Andreas E. Zautner, Andreas Podbielski, Rainer Bader and Wolfram Mittelmeier

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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.

Keywords   Yersinia enterocolitica  - O:9 - Spondylodiscitis - Osteomyelitis - Lumbar spine - Epidural abscess

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