Vertebral osteomyelitis due to an unusual pathogen: a case report
Authors: Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook
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.
Authors
Correspondence to:
Rabindra Ghimire, Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA ghimirer16@ecu.edu
Publication history:
Received 24 Oct 2018
Revised 18 Dec 2018
Accepted 03 Mar 2019
Published online 01 Apr 2019
Published in print 29 May 2019
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
Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. https://www.ejmcr.com/?mno=13992 [Access: March 19, 2024]. doi:
10.24911/ejmcr/173-1540307083
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
Ghimire R, Hussain J, Abubaker A, Henderson T, Cook P. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. (2019), [cited March 19, 2024]; 3(2): 65-67. doi:
10.24911/ejmcr/173-1540307083
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
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
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
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
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