Ramachandran Karthik, Shetty Ajoy Prasad, Shanmuganathan Rajasekaran
Department of Spine Surgery, Ganga Medical Centre and Hospitals Pvt. Ltd., Mettupalayam Road, Coimbatore, India.
J Clin Orthop Trauma. 2023 Jun 24;42:102205. doi: 10.1016/j.jcot.2023.102205. eCollection 2023 Jul.
Ralstonia mannitolilytica is a low-virulence, gram-negative bacillus which causes opportunistic infections in immunosuppressed patients. Postoperative spondylodiscitis by R. mannitolilytica has not been reported so far. We report the management of two cases of postoperative spondylodiscitis caused by Ralstonia mannitolilytica presenting to our center within a span of one month following endoscopic lumbar discectomy at a different center. They were managed successfully by surgical debridement and appropriate antibiotics. In these two cases of R.mannitolilytica spondylodiscitis, prompt detection, and intensive treatment resulted in satisfactory outcomes in terms of fulfilling the purpose of the original surgery.
嗜麦芽窄食单胞菌是一种低毒力的革兰氏阴性杆菌，可在免疫抑制患者中引起机会性感染。迄今为止，尚未有关于嗜麦芽窄食单胞菌引起术后脊椎椎间盘炎的报道。我们报告了在另一家中心进行内镜下腰椎间盘切除术后一个月内，我们中心收治的两例由嗜麦芽窄食单胞菌引起的术后脊椎椎间盘炎的治疗情况。通过手术清创和使用适当的抗生素，两例患者均成功治愈。在这两例嗜麦芽窄食单胞菌性脊椎椎间盘炎病例中，及时发现并进行强化治疗，在实现原手术目的方面取得了令人满意的结果。
