Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery
Spondylodiscitis with/without neurologic impairment is a serious infection, predominantly occurring in high-risk patients. Campylobacter fetus caused spondylodiscitis is very rare. Evidence-based therapeutic concepts for lumbar spondylodiscitis are lacking. A 64-year-old high-risk woman underwent de...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.998011/full |
| _version_ | 1817980729249759232 |
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| author | Matevž Topolovec Matevž Topolovec Nataša Faganeli Peter Brumat Peter Brumat |
| author_facet | Matevž Topolovec Matevž Topolovec Nataša Faganeli Peter Brumat Peter Brumat |
| author_sort | Matevž Topolovec |
| collection | DOAJ |
| description | Spondylodiscitis with/without neurologic impairment is a serious infection, predominantly occurring in high-risk patients. Campylobacter fetus caused spondylodiscitis is very rare. Evidence-based therapeutic concepts for lumbar spondylodiscitis are lacking. A 64-year-old high-risk woman underwent decompression with instrumented lumbar fusion. Six months after index surgery, she developed pyelonephritis, which deteriorated to sepsis and presentation of cauda equina syndrome. She underwent urgent revision with decompression, debridement, and instrumentation removal, and received long-term antibiotics. Culture grew Campylobacter fetus, previously not reported as a cause of spondylodiscitis after elective instrumented lumbar fusion. Emergent debridement and removal of instrumentation, with 2 months of targeted intravenous antibiotics followed by 6 weeks of oral antibiotics led to complete spondylodiscitis resolution. Prompt diagnostics and targeted antibiotic treatment are paramount when dealing with spinal infections, particularly in patients with rare causative pathogens like Campylobacter fetus. Concomitant neurological complications may require emergent surgical management in the case of cauda equina syndrome. |
| first_indexed | 2024-04-13T22:56:57Z |
| format | Article |
| id | doaj.art-ba924bb4aa62461e9d011a54dd17bcef |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T22:56:57Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-ba924bb4aa62461e9d011a54dd17bcef2022-12-22T02:25:58ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.998011998011Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgeryMatevž Topolovec0Matevž Topolovec1Nataša Faganeli2Peter Brumat3Peter Brumat4Department of Spine Surgery, Valdoltra Orthopaedic Hospital, Ankaran, SloveniaFaculty of Medicine, University of Maribor, Maribor, SloveniaDepartment of Spine Surgery, Valdoltra Orthopaedic Hospital, Ankaran, SloveniaDepartment of Spine Surgery, Valdoltra Orthopaedic Hospital, Ankaran, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaSpondylodiscitis with/without neurologic impairment is a serious infection, predominantly occurring in high-risk patients. Campylobacter fetus caused spondylodiscitis is very rare. Evidence-based therapeutic concepts for lumbar spondylodiscitis are lacking. A 64-year-old high-risk woman underwent decompression with instrumented lumbar fusion. Six months after index surgery, she developed pyelonephritis, which deteriorated to sepsis and presentation of cauda equina syndrome. She underwent urgent revision with decompression, debridement, and instrumentation removal, and received long-term antibiotics. Culture grew Campylobacter fetus, previously not reported as a cause of spondylodiscitis after elective instrumented lumbar fusion. Emergent debridement and removal of instrumentation, with 2 months of targeted intravenous antibiotics followed by 6 weeks of oral antibiotics led to complete spondylodiscitis resolution. Prompt diagnostics and targeted antibiotic treatment are paramount when dealing with spinal infections, particularly in patients with rare causative pathogens like Campylobacter fetus. Concomitant neurological complications may require emergent surgical management in the case of cauda equina syndrome.https://www.frontiersin.org/articles/10.3389/fsurg.2022.998011/fullCampylobacter fetusspondylodiscitiscauda equina syndromeCESinstrumented lumbar fusiondecompression |
| spellingShingle | Matevž Topolovec Matevž Topolovec Nataša Faganeli Peter Brumat Peter Brumat Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery Frontiers in Surgery Campylobacter fetus spondylodiscitis cauda equina syndrome CES instrumented lumbar fusion decompression |
| title | Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| title_full | Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| title_fullStr | Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| title_full_unstemmed | Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| title_short | Case Report: Campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| title_sort | case report campylobacter fetus caused pyogenic spondylodiscitis with a presentation of cauda equina syndrome after instrumented lumbar fusion surgery |
| topic | Campylobacter fetus spondylodiscitis cauda equina syndrome CES instrumented lumbar fusion decompression |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.998011/full |
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