Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis
In this article, we report the case of a 75-year-old man who was presented with new low back pain for 2 weeks. His past history was significant for severe aortic stenosis necessitating bioprosthetic aortic valve placement 4 years ago, hypertension, and coronary artery disease. His physical examinati...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-10-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/2324709618807504 |
| _version_ | 1818097352234237952 |
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| author | Sanjay K. Yadava MD Ambika Eranki MD |
| author_facet | Sanjay K. Yadava MD Ambika Eranki MD |
| author_sort | Sanjay K. Yadava MD |
| collection | DOAJ |
| description | In this article, we report the case of a 75-year-old man who was presented with new low back pain for 2 weeks. His past history was significant for severe aortic stenosis necessitating bioprosthetic aortic valve placement 4 years ago, hypertension, and coronary artery disease. His physical examination was positive for point tenderness over the lower lumbar spine. He was found to be bacteremic with Cardiobacterium hominis . Magnetic resonance imaging of the spine showed lumbar (L4-L5) epidural abscess and vertebral osteomyelitis, discitis. He underwent a computed tomography–guided needle biopsy of L4-L5. The biopsy culture was also positive for Cardiobacterium hominis . A transesophageal echocardiogram showed small vegetation on the mitral valve with mild regurgitation. He was started on intravenous ceftriaxone 2 g once daily for a planned duration of 6 weeks and was discharged. However, he, unfortunately, expired at an outside facility secondary to an unknown illness 4 weeks into the treatment course. |
| first_indexed | 2024-12-10T23:19:09Z |
| format | Article |
| id | doaj.art-972fd9049b0240cfa93378e18894e8fe |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-10T23:19:09Z |
| publishDate | 2018-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-972fd9049b0240cfa93378e18894e8fe2022-12-22T01:29:46ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962018-10-01610.1177/2324709618807504Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of EndocarditisSanjay K. Yadava MD0Ambika Eranki MD1State University of New York Upstate Medical University, Syracuse, NY, USAState University of New York Upstate Medical University, Syracuse, NY, USAIn this article, we report the case of a 75-year-old man who was presented with new low back pain for 2 weeks. His past history was significant for severe aortic stenosis necessitating bioprosthetic aortic valve placement 4 years ago, hypertension, and coronary artery disease. His physical examination was positive for point tenderness over the lower lumbar spine. He was found to be bacteremic with Cardiobacterium hominis . Magnetic resonance imaging of the spine showed lumbar (L4-L5) epidural abscess and vertebral osteomyelitis, discitis. He underwent a computed tomography–guided needle biopsy of L4-L5. The biopsy culture was also positive for Cardiobacterium hominis . A transesophageal echocardiogram showed small vegetation on the mitral valve with mild regurgitation. He was started on intravenous ceftriaxone 2 g once daily for a planned duration of 6 weeks and was discharged. However, he, unfortunately, expired at an outside facility secondary to an unknown illness 4 weeks into the treatment course.https://doi.org/10.1177/2324709618807504 |
| spellingShingle | Sanjay K. Yadava MD Ambika Eranki MD Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis Journal of Investigative Medicine High Impact Case Reports |
| title | Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis |
| title_full | Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis |
| title_fullStr | Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis |
| title_full_unstemmed | Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis |
| title_short | Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis |
| title_sort | vertebral osteomyelitis discitis and epidural abscess a rare complication of endocarditis |
| url | https://doi.org/10.1177/2324709618807504 |
| work_keys_str_mv | AT sanjaykyadavamd vertebralosteomyelitisdiscitisandepiduralabscessararecomplicationofendocarditis AT ambikaerankimd vertebralosteomyelitisdiscitisandepiduralabscessararecomplicationofendocarditis |