Spondylodiscitis Caused by Enterobacter agglomerans
All over the globe, the incidence of vertebral infection is rising. Nowadays, compared to tuberculous variety, pyogenic spondylodiscitis incidence is high. The increase in the susceptible population and improved diagnostics summatively contributed to this. In clinical grounds, differentiation of pyo...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2016/8491571 |
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| author | Jayaweera Arachchige Asela Sampath Jayaweera Mahen Kothalawala Balachandran Devakanthan Sinnappoo Arunan Dinithi Galgamuwa Manori Rathnayake |
| author_facet | Jayaweera Arachchige Asela Sampath Jayaweera Mahen Kothalawala Balachandran Devakanthan Sinnappoo Arunan Dinithi Galgamuwa Manori Rathnayake |
| author_sort | Jayaweera Arachchige Asela Sampath Jayaweera |
| collection | DOAJ |
| description | All over the globe, the incidence of vertebral infection is rising. Nowadays, compared to tuberculous variety, pyogenic spondylodiscitis incidence is high. The increase in the susceptible population and improved diagnostics summatively contributed to this. In clinical grounds, differentiation of pyogenic and tuberculous spondylodiscitis is well defined. Enterobacter agglomerans is a hospital contaminant and associated with infections in immunocompromised individuals and intravenous lines. It causes a wide array of infections. Enterobacter agglomerans spondylodiscitis is unusual and there are, around the globe, only less than 31 suspected cases that have been previously reported. Enterobacter agglomerans histology mimics tuberculous rather than pyogenic spondylodiscitis. A 65-year-old farming lady, while being in hospital, developed sudden onset spastic paraparesis with hyperreflexia. Later blood culture revealed Enterobacter agglomerans with 41-hour incubation in 99.9% probability from Ramel identification system. Her initial ESR was 120 mm/first hour. Isolate was susceptible to ciprofloxacin and intravenous followed with oral therapy shows a drastic ESR fall and improved clinical response. Differentiation of tuberculous and pyogenic spondylodiscitis is very much important in management point of view. Therefore, blood culture has a role in diagnosis of spondylodiscitis. ESR can be used as important inflammatory marker in monitoring the response to treatment. Retrospectively, ESR would aid in reaching a definitive diagnosis. |
| format | Article |
| id | doaj-art-5b5415bc64974da485a2b6026d35028c |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-5b5415bc64974da485a2b6026d35028c2025-02-03T05:59:05ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/84915718491571Spondylodiscitis Caused by Enterobacter agglomeransJayaweera Arachchige Asela Sampath Jayaweera0Mahen Kothalawala1Balachandran Devakanthan2Sinnappoo Arunan3Dinithi Galgamuwa4Manori Rathnayake5Department of Microbiology, Faculty of Medicine and Allied Sciences, Rajarata University, Saliyapura, Sri LankaTeaching Hospital, Kandy, Sri LankaTeaching Hospital, Kandy, Sri LankaDepartment of Microbiology, Teaching Hospital, Kandy, Sri LankaDepartment of Microbiology, Teaching Hospital, Kandy, Sri LankaDepartment of Microbiology, Teaching Hospital, Kandy, Sri LankaAll over the globe, the incidence of vertebral infection is rising. Nowadays, compared to tuberculous variety, pyogenic spondylodiscitis incidence is high. The increase in the susceptible population and improved diagnostics summatively contributed to this. In clinical grounds, differentiation of pyogenic and tuberculous spondylodiscitis is well defined. Enterobacter agglomerans is a hospital contaminant and associated with infections in immunocompromised individuals and intravenous lines. It causes a wide array of infections. Enterobacter agglomerans spondylodiscitis is unusual and there are, around the globe, only less than 31 suspected cases that have been previously reported. Enterobacter agglomerans histology mimics tuberculous rather than pyogenic spondylodiscitis. A 65-year-old farming lady, while being in hospital, developed sudden onset spastic paraparesis with hyperreflexia. Later blood culture revealed Enterobacter agglomerans with 41-hour incubation in 99.9% probability from Ramel identification system. Her initial ESR was 120 mm/first hour. Isolate was susceptible to ciprofloxacin and intravenous followed with oral therapy shows a drastic ESR fall and improved clinical response. Differentiation of tuberculous and pyogenic spondylodiscitis is very much important in management point of view. Therefore, blood culture has a role in diagnosis of spondylodiscitis. ESR can be used as important inflammatory marker in monitoring the response to treatment. Retrospectively, ESR would aid in reaching a definitive diagnosis.http://dx.doi.org/10.1155/2016/8491571 |
| spellingShingle | Jayaweera Arachchige Asela Sampath Jayaweera Mahen Kothalawala Balachandran Devakanthan Sinnappoo Arunan Dinithi Galgamuwa Manori Rathnayake Spondylodiscitis Caused by Enterobacter agglomerans Case Reports in Infectious Diseases |
| title | Spondylodiscitis Caused by Enterobacter agglomerans |
| title_full | Spondylodiscitis Caused by Enterobacter agglomerans |
| title_fullStr | Spondylodiscitis Caused by Enterobacter agglomerans |
| title_full_unstemmed | Spondylodiscitis Caused by Enterobacter agglomerans |
| title_short | Spondylodiscitis Caused by Enterobacter agglomerans |
| title_sort | spondylodiscitis caused by enterobacter agglomerans |
| url | http://dx.doi.org/10.1155/2016/8491571 |
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