Spontaneous spondylodiscitis caused by Klebsiella pneumoniae

Infection. Nov-Dec 1999;27(6):368-9. doi: 10.1007/s150100050046.

Abstract

A rare case of spontaneous spondylodiscitis caused by Klebsiella pneumoniae in a 55-year-old man who presented with thoracolumbar pain is described. Increased erythrocyte sedimentation rate and C-reactive protein level were pertinent laboratory findings. Computed tomography revealed a paravertebral mass and destruction of the 10th and 11th vertebrae. Magnetic resonance imaging (MRI) showed spondylodiscitis in the same area. Culture of a biopsy sample from the mass grew Klebsiella pneumoniae, while histological examination confirmed the inflammation. A combination of ceftazidime, amikacin and ciprofloxacin resulted in disappearance of the pain. Two months later, MRI showed substantial improvement of the lesions.

Publication types

  • Case Reports

MeSH terms

  • Amikacin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents / therapeutic use
  • Biopsy
  • Ceftazidime / therapeutic use
  • Cephalosporins / therapeutic use
  • Ciprofloxacin / therapeutic use
  • Discitis / diagnosis
  • Discitis / drug therapy
  • Discitis / microbiology*
  • Humans
  • Klebsiella Infections / diagnosis*
  • Klebsiella Infections / drug therapy
  • Klebsiella pneumoniae* / drug effects
  • Klebsiella pneumoniae* / isolation & purification
  • Male
  • Middle Aged

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Cephalosporins
  • Ciprofloxacin
  • Amikacin
  • Ceftazidime