EJMCR |

Case Report

Volume: 3 | Issue: 2 | Published: Apr 01, 2019 | Pages: 65 - 67 | DOI: 10.24911/ejmcr/173-1540307083

Vertebral osteomyelitis due to an unusual pathogen: a case report

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

Article Info

Authors

Rabindra Ghimire

Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA

Jaffer Hussain

Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA

Ahmed Abubaker

Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA

Triona Henderson

Department of Pathology and Microbiology, Brody School of Medicine at East Carolina University, Greenville, USA

Paul Cook

Division of Infectious Diseases, Brody School of Medicine at East Carolina University, Greenville, USA

Publication History

Received: October 24, 2018

Accepted: March 03, 2019

Published: April 01, 2019

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, green

Pubmed Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. 2019; 01 (April 2019): 65-67. doi:10.24911/ejmcr/173-1540307083

Web Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook. Vertebral osteomyelitis due to an unusual pathogen: a case report. https://ejmcr.com/articles/1487 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1540307083

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook. Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR. (2019), [cited December 25, 2024]; 01 (April 2019): 65-67. doi:10.24911/ejmcr/173-1540307083

Harvard Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook (2019) Vertebral osteomyelitis due to an unusual pathogen: a case report. EJMCR, 01 (April 2019): 65-67. doi:10.24911/ejmcr/173-1540307083

Chicago Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook. "Vertebral osteomyelitis due to an unusual pathogen: a case report." 01 (2019), 65-67. doi:10.24911/ejmcr/173-1540307083

MLA (The Modern Language Association) Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook. "Vertebral osteomyelitis due to an unusual pathogen: a case report." 01.April 2019 (2019), 65-67. Print. doi:10.24911/ejmcr/173-1540307083

APA (American Psychological Association) Style

Rabindra Ghimire, Jaffer Hussain, Ahmed Abubaker, Triona Henderson, Paul Cook (2019) Vertebral osteomyelitis due to an unusual pathogen: a case report. , 01 (April 2019), 65-67. doi:10.24911/ejmcr/173-1540307083