Spondylodiscitis complicated by an epidural abscess and meningitis caused by Bacteroides fragilis.

Takeshi Kawakami, Hiromichi Suzuki, Masatsune Suzuki, Yumi Hirose

Department of General Internal Medicine, Tsukuba Medical Center Hospital, Japan.

Internal medicine (Tokyo, Japan) 2012

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Bacteroides fragilis is a rare causative agent of spondylodiscitis. The pathophysiology of B. fragilis in spondylodiscitis remains largely unclear because of its rare occurrence. We herein report a case of spondylodiscitis complicated by an epidural abscess and meningitis; B. fragilis was detected in the blood of the patient. Moreover, the patient had a splenic abscess that was confirmed on magnetic resonance imaging. The patient completely recovered with antimicrobial therapy alone.

Citation

Takeshi Kawakami, Hiromichi Suzuki, Masatsune Suzuki, Yumi Hirose. Spondylodiscitis complicated by an epidural abscess and meningitis caused by Bacteroides fragilis. Internal medicine (Tokyo, Japan). 2012;51(22):3189-91