Atypical low back pain with an uncommon cause: pneumococcal spondylodiscitis

Authors

  • Alberto Kramer-Ramos Unidad de Medicina Familiar y Comunitaria, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • María del Mar García-Méndez Unidad de Corta Estancia, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • Ana Azahara García-Ortega Servicio de Radiología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • Vladimir Rosa-Salazar Unidad de Corta Estancia, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
  • Bartolomé García-Pérez Unidad de Corta Estancia, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

DOI:

https://doi.org/10.32818/reccmi.a2n2a12

Keywords:

spondylodiscitis, pneumococcal, lumbago, vertebral infection

Abstract

We describe the case of a 13-year-old male with no history of interest with intermittent fever and 4-week low back pain who was finally diagnosed as having pneumococcal spondylodiscitis. To emphasize the importance of this communication, due to the few cases described in the literature of this form of invasive pneumococcal disease, and also because of their involvement in a young patient with no underlying chronic pathology, since pneumococcal spondylodiscitis usually affects patients with age over 50 years and with significant comorbidity (immunosuppression, asplenia, diabetes, alcohol consumption, etc.).

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References

Suzuki H, Shichi D, Tokuda Y, Ishikawa H, Maeno T, Nakamura H. Pneumococcal vertebral osteomyelitis at three teaching hospitals in Japan, 2003-2011: analysis of 14 cases and a review of the literature. BMC Infect Dis. 2013 Nov 8; 13: 525. doi: https://doi.org/10.1186/1471-2334-13-525.

Rossi P, Granel B, Mouly P, Demoux AL, Le Mée F, Bernard F, Faugère G, Francès Y. An atypical pneumococcal arthritis. BMJ Case Rep. 2010 Oct 18; 2010. pii: bcr0120102638. doi: https://doi.org/10.1136/bcr.01.2010.2638.

Turner DP, Weston VC, Ispahani P. Streptococcus pneumoniae spinal infection in Nottingham, United Kingdom: not a rare event. Clin Infect Dis. 1999; 28 (4): 873-881. doi: https://doi.org/10.1086/515194.

Yoon SH, Chung SK, Kim KJ, Kim HJ, Jin YJ, Kim HB: Pyogenic vertebral osteomyelitis: identification of microorganism and laboratory markers used to predict clinical outcome. Eur Spine J 2010; 19 (4): 575-582.

Lüthy J, Trampuz A, Tyndall A, Vogt T. Spondylodiscitis without fever: a diagnostic challenge. Dtsch Med Wochenschr. 2008 Aug; 133(34-35): 1725-9. doi: https://doi.org/10.1055/s-0028-1082794.

Ribeiro S, Domingues V, Faria RM, Mendonça T. Invasive pneumococcal disease complicated by cerebral vasculitis, transient diabetes insipidus and spondylodiscitis. BMJ Case Rep. 2013 Aug 19; 2013. pii: bcr2013010336. doi: https://doi.org/10.1136/bcr-2013-010336.

Gómez Rodríguez N, Durán Muñoz O. Pneumococcal spondylodiscitis and pleural effusion. Report of a case and literature review. An Med Interna. 2007 Jan; 24(1): 27-30.

Published

2017-08-31

How to Cite

1.
Kramer-Ramos A, García-Méndez M del M, García-Ortega AA, Rosa-Salazar V, García-Pérez B. Atypical low back pain with an uncommon cause: pneumococcal spondylodiscitis. Rev Esp Casos Clin Med Intern [Internet]. 2017 Aug. 31 [cited 2024 Jul. 3];2(2):94-6. Available from: https://www.reccmi.com/RECCMI/article/view/113

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