A case of Klebsiella pneumoniae spondylitis and bacteremia potentially due to inflammation around a fecalith

J Infect Chemother. 2019 Jun;25(6):470-472. doi: 10.1016/j.jiac.2019.01.001. Epub 2019 Feb 14.


We herein report a case of Klebsiella pneumoniae (K. pneumoniae) spondylitis and bacteremia in a 90-year-old man with diabetes mellitus who had undergone sigmoidectomy and had a fecalith. Two months prior to admission, he had received antimicrobial treatment for 2 weeks for K. pneumoniae bacteremia whose entry was unclear and he was readmitted to our hospital owing to fever and stomachache. K. pneumoniae was isolated from two sets of blood cultures, and computed tomography and magnetic resonance imaging revealed inflammation and destruction of the 8th and 9th thoracic vertebra. The diagnosis was spondylodiscitis secondary to K. pneumoniae bacteremia. Although the entry point for K. pneumoniae was unclear, we suggest that inflammation of the mucosa around the fecalith might have caused the Enterobacteriaceae bacteremia.

Keywords: Bacteremia; Fecalith; Klebsiella pneumoniae; Spondylitis.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / microbiology*
  • Colitis / complications
  • Colitis / microbiology*
  • Colon / diagnostic imaging
  • Colon / microbiology
  • Discitis / diagnostic imaging
  • Discitis / microbiology*
  • Fecal Impaction / complications
  • Fecal Impaction / microbiology*
  • Humans
  • Klebsiella Infections / diagnostic imaging
  • Klebsiella Infections / microbiology*
  • Klebsiella pneumoniae / isolation & purification*
  • Magnetic Resonance Imaging
  • Male
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / microbiology
  • Tomography, X-Ray Computed
  • Treatment Outcome


  • Anti-Bacterial Agents