EJMCR. 2019; 3(2): 65-67

Vertebral osteomyelitis due to an unusual pathogen: a case report

Authors: Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook.

ABSTRACT

Background: Vertebral osteomyelitis most often presents with back pain and is usually a secondary complication of a distant infection with hematogenous seeding. A source of infection is detected in about half of the cases. Burkholderia cepacia has rarely been implicated as an etiology. Case Presentation: We present a 50 year old Caucasian male with low back pain for 10 days associated with urinary incontinence without any fever or chills. He had laboratory and imaging evidence of vertebral osteomyelitis. Patient underwent bone biopsy and was diagnosed with vertebral osteomyelitis and discitis caused by Burkholderia cepacia. The patient was treated with intravenous meropenem for initial two weeks and thereafter oral ciprofloxacin and continues to do well several weeks later. Conclusion: Vertebral osteomyelitis due to B. cepacia has rarely been reported as a cause and though rare this organism should be considered in the differential diagnosis of vertebral osteomyelitis in the appropriate clinical setting.

Keywords:
Vertebral osteomyelitis, Burkholderia cepacia, bone biopsy, mechanism of resistance.


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Vertebral osteomyelitis due to an unusual pathogen: a case report


Authors
Rabindra Ghimire
Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA
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Jaffer Hussain
Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA
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Ahmed Abubaker
Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA
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Triona Henderson
Department of Pathology and Microbiology, Brody School of Medicine at East Carolina University, Greenville, USA
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Paul Cook
Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA
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Correspondence to:
. Rabindra Ghimire, Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA; ghimirer16@ecu.edu

Publication history
Published online 01 Jan 1970
Received 24 Oct 2018
Revised 18 Dec 2018
Accepted 03 Mar 2019
Published in print 29 May 2019

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Pubmed Style

Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. 2019; 3(2): 65-67. doi:10.24911/ejmcr/173-1540307083


Web Style

Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. http://www.ejmcr.com/?mno=13992 [Access: June 24, 2019]. doi:10.24911/ejmcr/173-1540307083


AMA (American Medical Association) Style

Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. 2019; 3(2): 65-67. doi:10.24911/ejmcr/173-1540307083


Vancouver/ICMJE Style

Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. (2019), [cited June 24, 2019]; 3(2): 65-67. doi:10.24911/ejmcr/173-1540307083


Harvard Style

Ghimire, R., Hussain, . J., Abubaker, . A., Henderson, . T. & Cook, . P. (2019) Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR, 3 (2), 65-67. doi:10.24911/ejmcr/173-1540307083


Turabian Style

Ghimire, Rabindra, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, and Paul Cook. 2019. Vertebral osteomyelitis due to an unusual pathogen: a case report. European Journal of Medical Case Reports, 3 (2), 65-67. doi:10.24911/ejmcr/173-1540307083


Chicago Style

Ghimire, Rabindra, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, and Paul Cook. "Vertebral osteomyelitis due to an unusual pathogen: a case report." European Journal of Medical Case Reports 3 (2019), 65-67. doi:10.24911/ejmcr/173-1540307083


MLA (The Modern Language Association) Style

Ghimire, Rabindra, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, and Paul Cook. "Vertebral osteomyelitis due to an unusual pathogen: a case report." European Journal of Medical Case Reports 3.2 (2019), 65-67. Print. doi:10.24911/ejmcr/173-1540307083


APA (American Psychological Association) Style

Ghimire, R., Hussain, . J., Abubaker, . A., Henderson, . T. & Cook, . P. (2019) Vertebral osteomyelitis due to an unusual pathogen: a case report. European Journal of Medical Case Reports, 3 (2), 65-67. doi:10.24911/ejmcr/173-1540307083


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