Uncommon cervical pain due by Bacillus pumilus spondylodiscitis in an immunocompetent patient: a case report.
Bacillus pumilus spondylodiscitis
Keywords:
Bacillus pumilus; spondylodiscitis, infection, spineAbstract
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.
References
Urrutia J, Zamora T, Campos M. Cervical pyogenic spinal infections: are they more severe diseases than infections in other vertebral locations? Eur Spine J. 2013;22(12):2815-2820. doi:10.1007/s00586-013-2995-y
Yuan Y, Gao M. Genomic analysis of a ginger pathogen Bacillus pumilus providing the understanding to the pathogenesis and the novel control strategy. Sci Rep. 2015;5(1):10259. doi:10.1038/srep10259
Borsa BA, Aldağ ME, Tunalı B, Dinç U, Güngördü Dalar Z, Özalp VC. [A sepsis case caused by a rare opportunistic pathogen: Bacillus pumilus]. Mikrobiyol Bul. 2016;50(3):466-470. http://www.ncbi.nlm.nih.gov/pubmed/27525402. Accessed March 4, 2019.
Bentur H, Dalzell A, Riordan F. Central venous catheter infection with Bacillus pumilus in an immunocompetent child: a case report. Ann Clin Microbiol Antimicrob. 2007;6(1):12. doi:10.1186/1476-0711-6-12
Banerjee C, Bustamante CI, Wharton R, Talley E, Wade JC. Bacillus infections in patients with cancer. Arch Intern Med. 1988;148(8):1769-1774. http://www.ncbi.nlm.nih.gov/pubmed/3401098. Accessed March 4, 2019.
Kimouli M, Vrioni G, Papadopoulou M, et al. Two cases of severe sepsis caused by Bacillus pumilus in neonatal infants. J Med Microbiol. 2012;61(Pt_4):596-599. doi:10.1099/jmm.0.033175-0
Farhat H, Chachaty E, Antoun S, Nitenberg G, Zahar J-R. Infections à Bacillus et immunodépression, à propos de deux cas. Médecine Mal Infect. 2008;38(11):612-614. doi:10.1016/j.medmal.2008.09.006
Girardo M, Rava A, Aprato A, Massè A, Sabatini L, Fusini F. The treatment of spinal tuberculosis: A single center experience. Minerva Ortop e Traumatol. 2019;70(3):132-136. doi:10.23736/S0394-3410.19.03921-3
Ledermann HP, Schweitzer ME, Morrison WB, Carrino JA. MR Imaging Findings in Spinal Infections: Rules or Myths? Radiology. 2003;228(2):506-514. doi:10.1148/radiol.2282020752
Trajkovski A, Omerovic S, Hribernik M, Prebil I. Failure Properties and Damage of Cervical Spine Ligaments, Experiments and Modeling. J Biomech Eng. 2014;136(3):031002. doi:10.1115/1.4026424
Gargiulo G, Girardo M, Rava A, et al. Clinical comparison between simple laminectomy and laminectomy plus posterior instrumentation in surgical treatment of cervical myelopathy. Eur J Orthop Surg Traumatol. 2019;29(5):975-982. doi:10.1007/s00590-019-02395-6
Shad A, Shariff S, Fairbank J, Byren I, Teddy PJMAD, Cadoux-Hudson TAD. Internal fixation for osteomyelitis of cervical spine: the issue of persistence of culture positive infection around the implants. Acta Neurochir (Wien). 2003;145(11):957-960; discussion 960. doi:10.1007/s00701-003-0129-8
Colò G, Cavagnaro L, Alessio-Mazzola M, Zanirato A, Felli L, Formica M. Incidence, diagnosis and management of sacroiliitis after spinal surgery: a systematic review of the literature. Musculoskelet Surg. 2019. doi:10.1007/s12306-019-00607-0
Downloads
Published
Issue
Section
License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
How to Cite
