Listeria spondylodiscitis: an uncommon etiology of a common condition; a case report.

Abstract:

BACKGROUND:Listeriosis is a severe food-borne infection caused by the Gram-positive rod, Listeria monocytogenes. Despite the low incidence (3-8 cases per million), Listeriosis has a case fatality rate of 20-30% as it occurs predominantly in immunocompromised individuals at extremes of age, diabetics and pregnant women. Listeriosis classically presents as a febrile gastroenteritis, isolated bacteremia, meningitis, or maternal-fetal infections. Focal bone and joint infection are rare and primarily involve orthopedic implant devices. Here, we present the first case of Listeria-associated spondylodiscitis. CASE PRESENTATION:A 79-year-old male presents with acute-on-chronic back pain in the absence of risk factors or exposures, aside from age. On radiological imaging, spondylodiscitis of L3-L4 was diagnosed. Subsequently, a CT-guided biopsy was performed to aid in confirming microbiological aetiology. Listeria monocytogenes was grown in culture and patient received appropriate antibacterial therapy. CONCLUSION:The case highlights the utility of image-guided tissue sampling in aiding diagnosis and management in patients with vertebral osteomyelitis. It also encourages consideration of uncommon organisms such as Listeria as an etiology of vertebral osteomyelitis, even in the absence of prosthetic implants.

journal_name

BMC Infect Dis

journal_title

BMC infectious diseases

authors

Al Ohaly R,Ranganath N,Saffie MG,Shroff A

doi

10.1186/s12879-020-05286-y

subject

Has Abstract

pub_date

2020-07-31 00:00:00

pages

559

issue

1

issn

1471-2334

pii

10.1186/s12879-020-05286-y

journal_volume

20

pub_type

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