Uncommon cervical pain due by Bacillus pumilus spondylodiscitis in an immunocompetent patient: a case report. Bacillus pumilus spondylodiscitis

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Federico Fusini
Gabriele Colò
Alessandro Massè
Massimo Girardo

Keywords

Bacillus pumilus; spondylodiscitis, infection, spine

Abstract

A fifty-three year-old military patient, presented with a 3 months neck pain and paraesthesia of upper right extremity after gastroscopy. Radiological examination demonstrated anuncertain degenerative/infective involvement of C6-C7 intervertebral disc.


The patient underwent anterior debridement with C5-C6 disc excisional biopsy, with microbiological findings of Bacillus pumilus with high bacterial concentration. After biopsy, segment arthrodesis was achieved only with vertebral plate cruentation and 3 months of cervical collar. He completed a six-weeks course of intravenous antibiotics for the treatment of atypical spondylodiscitis. At one year of follow-up, he had no residual neck pain or neurological signs or symptoms.

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