Extensive Multifocal Emphysematous Osteomyelitis of Spine: A Rare Case and a Review of Literature.


Journal

Infectious disorders drug targets
ISSN: 2212-3989
Titre abrégé: Infect Disord Drug Targets
Pays: United Arab Emirates
ID NLM: 101269158

Informations de publication

Date de publication:
2023
Historique:
received: 17 02 2022
revised: 28 04 2022
accepted: 29 04 2022
pubmed: 17 6 2022
medline: 9 2 2023
entrez: 16 6 2022
Statut: ppublish

Résumé

Emphysematous osteomyelitis (EO) is an extremely rare form of osteomyelitis which is complicated mainly by infection with gas-forming organisms. The common causative agents of this disease are mainly members of Enterobacteriaceae family, the most common are Escherichia coli and Klebsiella pneumoniae along with anaerobes. A total of 48 cases of EO have been reported in the literature till now globally and none have documented the isolation of Corynebacterium amycolatum. We report a rare case of emphysematous osteomyelitis of the spine and pelvis due to Escherichia coli along with the isolation of Corynebacterium amycolatum from the same pus samples on two consecutive occasions in a 50-year-old female with uncontrolled diabetes mellitus, who was successively treated with antibiotics and drainage of pus. We also did a brief review of the literature of all cases reported till now. The role of Corynebacterium amycolatum in the etiology of emphysematous osteomyelitis needs to be evaluated further in future studies as we cannot completely ignore its isolation in two consecutive samples as a mere contaminant.

Sections du résumé

BACKGROUND BACKGROUND
Emphysematous osteomyelitis (EO) is an extremely rare form of osteomyelitis which is complicated mainly by infection with gas-forming organisms. The common causative agents of this disease are mainly members of Enterobacteriaceae family, the most common are Escherichia coli and Klebsiella pneumoniae along with anaerobes. A total of 48 cases of EO have been reported in the literature till now globally and none have documented the isolation of Corynebacterium amycolatum.
CASE PRESENTATION METHODS
We report a rare case of emphysematous osteomyelitis of the spine and pelvis due to Escherichia coli along with the isolation of Corynebacterium amycolatum from the same pus samples on two consecutive occasions in a 50-year-old female with uncontrolled diabetes mellitus, who was successively treated with antibiotics and drainage of pus. We also did a brief review of the literature of all cases reported till now.
CONCLUSION CONCLUSIONS
The role of Corynebacterium amycolatum in the etiology of emphysematous osteomyelitis needs to be evaluated further in future studies as we cannot completely ignore its isolation in two consecutive samples as a mere contaminant.

Identifiants

pubmed: 35708077
pii: IDDT-EPUB-124459
doi: 10.2174/1871526522666220614163310
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Review Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

e140622205976

Informations de copyright

Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.

Auteurs

Bhawna Sharma (B)

Department of Medical Microbiology, PGIMER, Chandigarh, India.

Vikas Lakhanpal (V)

Department of Neurology, PGIMER, Chandigarh, India.

Abeer Goyal (A)

Department of Neurology, PGIMER, Chandigarh, India.

Ritu Shree (R)

Department of Neurology, PGIMER, Chandigarh, India.

Shashank Raj (S)

Department of Neuroradiology, PGIMER, Chandigarh, India.

Priya Sreenivasan (P)

Department of Medical Microbiology, PGIMER, Chandigarh, India.

Manisha Biswal (M)

Department of Medical Microbiology, PGIMER, Chandigarh, India.

Pallab Ray (P)

Department of Medical Microbiology, PGIMER, Chandigarh, India.

Archana Angrup (A)

Department of Medical Microbiology, PGIMER, Chandigarh, India.

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Classifications MeSH