Alok Akankcha, Kollu Vidya Sagar, Kalyatanda Gautam
University of Central Florida College of Medicine, Orlando, FL.
HCA Florida North Florida Hospital, Gainesville, FL.
HCA Healthc J Med. 2024 Dec 1;5(6):733-737. doi: 10.36518/2689-0216.1737. eCollection 2024.
is an anaerobic gram-negative coccus found as a commensal organism in the oral, respiratory, gastrointestinal, and genitourinary tract of humans. Rarely, it can cause serious infections by the production of lipopolysaccharide, an endotoxin. Although most infections occur in immunocompromised individuals, we herein describe cases of discitis, a rare presentation of , in immunocompetent patients.
The first presented case was encountered in a patient admitted at our facility. All patient data were obtained from the hospital's electronic medical record system. Thereafter, a literature search and subsequent review was done on PubMed with the MEDLINE database, using the term " discitis," to obtain other reported cases of discitis caused by .We found a total of 9 cases of discitis in immunocompetent patients, apart from our patient. It was most frequently found in those aged 60 to 70 years, with no particular association with patient sex. Chronic backache was the most reported presenting symptom, the lumbar spine being the most commonly affected area, with a high number of cases occurring in the presence of an inciting event. Ceftriaxone, amoxicillin, and clavulanic acid were the most commonly used drugs, with an average duration of therapy of 6 weeks.
The objective of our study was to highlight the importance of recognizing as a potential cause of discitis. We aim to educate medical professionals regarding the presentation of discitis, the demographic groups affected, predisposing factors, and the treatment options available.
[具体细菌名称未给出]是一种厌氧革兰氏阴性球菌，作为共生生物存在于人类的口腔、呼吸道、胃肠道和泌尿生殖道中。极少情况下，它可通过产生脂多糖（一种内毒素）引发严重感染。尽管大多数感染发生在免疫功能低下的个体中，但我们在此描述了免疫功能正常患者中[具体细菌名称未给出]性椎间盘炎这一罕见表现的病例。
首例病例是在我们机构收治的一名患者中遇到的。所有患者数据均从医院的电子病历系统中获取。此后，使用“[具体细菌名称未给出]性椎间盘炎”这一术语在PubMed的MEDLINE数据库中进行了文献检索及后续回顾，以获取其他报道的由[具体细菌名称未给出]引起的椎间盘炎病例。除我们的患者外，我们共发现9例免疫功能正常患者的[具体细菌名称未给出]性椎间盘炎病例。该病最常见于60至70岁的人群，与患者性别无特定关联。慢性背痛是最常报告的症状，腰椎是最常受累的部位，大量病例发生在有诱发事件的情况下。头孢曲松、阿莫西林和克拉维酸是最常用的药物，平均治疗疗程为6周。
我们研究的目的是强调认识到[具体细菌名称未给出]作为椎间盘炎潜在病因的重要性。我们旨在就[具体细菌名称未给出]性椎间盘炎如何表现、受影响的人群、易感因素以及可用的治疗选择对医学专业人员进行教育。
