Veillonella parvula spondylodiscitis - 21/01/19
Spondylodiscite à Veillonella parvula
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Highlights |
• | Veillonella parvula vertebral osteomyelitis usually occurs in immunocompromised patients. |
• | We present a rare case of Veillonella parvula VO in an immunocompetent patient. |
• | We performed a literature review of Veillonella VO cases. |
• | Disco-vertebral punctures should be performed, even in immunocompetent patients. |
Abstract |
Objectives |
Veillonella parvula is an anaerobic Gram-negative coccus rarely involved in bone and joint infections.
Patients and method |
We report the case of a Veillonella parvula vertebral osteomyelitis (VO) in a female patient without any risk factor.
Results |
The 35-year-old patient was immunocompetent and presented with Veillonella parvula VO. She was admitted to hospital for inflammatory lower back pain. The discovertebral sample was positive for Veillonella parvula. Literature data on Veillonella VO is scarce. Reported cases usually occurred in immunocompromised patients. Diagnosis delay can be up to four months. Patients are usually afebrile. Outcome with antimicrobial treatment alone is favorable in half of cases. Other patients must undergo surgery.
Conclusions |
Veillonella VO may occur in immunocompetent patients and have a clinical spectrum of mechanical lower back pain.
Il testo completo di questo articolo è disponibile in PDF.Résumé |
Objectifs |
Veillonella parvula est un micro-organisme anaérobie type Gram-négatif, rarement impliqué dans les infections ostéoarticulaires.
Patients et méthodes |
Nous rapportons le cas d’une spondylodiscite à Veillonella parvula chez une patiente sans facteur de risque et présentons une revue de la littérature des infections ostéoarticulaires à Veillonella.
Résultats |
La ponction biopsie disco-vertébrale réalisée a objectivé la présence de Veillonella. Dans la littérature, les spondylodiscites infectieuses (SDI) à Veillonella sont rares et surviennent essentiellement chez les patients immunodéprimés. La durée d’évolution des symptômes peut aller jusqu’à quatre mois. La fièvre est souvent absente. Le traitement médical seul était suffisant dans la moitié des cas.
Conclusions |
Les SDI à Veillonella peuvent survenir chez des patients non immunodéprimés et se présenter comme des affections mécaniques.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Spondylodiscitis, Veillonella, Veillonella parvula
Mots clés : Spondylodiscite, Veillonella, Veillonella parvula
Mappa
Vol 49 - N° 1
P. 54-58 - febbraio 2019 Ritorno al numero
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