Spondylodiscitis Complicated by an Epidural Abscess and Meningitis Caused by <i>Bacteroides fragilis</i>

Abstract

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.

Prevotella Denticola Spondylitis

“…A total of 30 articles were identified, among which 10 were relevant to our case report; 7 cases of spondilitis due to Bacteroides fragilis, one to Prevotella melanogenica one to P.intermedia and 2 with Prevotella spp unidentified. When the terms used were "endocarditis bacteroides OR endocarditis prevotella" 135 articles were recovered among them 10 cases due to B. fragilis, 1 B. oralis and 4 due to Prevotella spp among one due to P. denticola [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23]. Prevotella denticola has rarely been report in systemic infection in human.…”

A Case of Spondylodiscitis due to Bacteroides Fragilis in Febrile Patient With Past Thoracic Vertebral Trauma

“…Spondylodiscitis due to Bacteroides fragilis in an uncommon finding [1]. Most cases of spondylodiscitis caused by Bacteroides fragilis result from hematogenous spread from a digestive portal of entry [2].…”

Vertebral osteomyelitis in bacterial meningitis patients

“…The search yielded 65 articles of which 31 studies were relevant to our review (Arend et al, 1995, Belvisi et al, 2013, Chemlal et al, 1996, Francis et al, 1988, Fukushima et al, 2008, Gardiner et al, 2014, Heard et al, 1992, Hirsh et al, 2004, Ikejiri et al, 2019, Jones et al, 2007, Kasahata et al, 2014, Kaufman et al, 1980, Kawakami et al, 2012, Kodra et al, 2016, Kohlmann et al, 2015, Markus and Allison, 1989, Mitsutake et al, 2018, Murao et al, 1997, Nessle et al, 2017, Ohnishi et al, 2015, Oki et al, 2016, Omori et al, 2008, Peterson et al, 1987, Poggenborg et al, 2008, Poyanli et al, 2001, Ribeiro et al, 2013, Suzuki et al, 2013, Turner et al, 1999, Zayed et al, 2019, Zbinden et al, 2012. Thirty-two patients with bacterial meningitis and vertebral osteomyelitis were identified of whom 18 (57%) were male (table 1).…”