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Volume 6 Journal of Infectious Diseases and Therapy
ISSN: 2332-0877 Infection Congress 2018
March 01-02, 2018
March 01-02, 2018 Berlin, Germany
5th International Congress on
INFECTIOUS DISEASES
Atypical clinical presentation in young, healthy women with pyogenic spondylodiscitis: Case report
Hsieh Yuan Kuei
Yuan’s General Hospital, Taiwan
Adult patients with spontaneous spondylodiscitis usually present in elderly population with diabetes mellitus or systemic
infection. This 29 years old women, previously healthy, reported chronic low back pain with acute exacerbation in five
days prior to her visit. The severe pain radiated to right leg and made her disability in walking. There was no fever, no travel
history, no contact history, and no wound. Neurologic examination revealed right L4/5 dermatome paresthesia and her muscle
power was full over four extremities. The lab data showed leukocytosis and elevated C reactive protein level. The dynamic plain
film of lumbar spine showed L4/5 spondylolisthesis. The Magnetic Resonance Imaging of lumbar spine showed mild L4/5
degenerative spondylolisthesis and diffuse posterior herniated disc, with right lateral ruptured sequestrum compromising L4
foramino-outlet nerve root. She was admitted to general ward and she received laminectomy and facetectomy then. During
operation, purulent material was collected. The lumbar spine specimen and blood culture both identified methicillin-resistant
Staphylococcus aureus. She received vancomycin then. Trace back her history, she worked as a nurse and denied any Intravenous
drug abuse. The survey for HIV and autoimmune disease were also negative finding. There was no evidence of infective
endocarditis by transthoracic echocardiography. The clinical presentation in this case was atypical in two aspects. First, the
relative young age was not fit in bimodal distribution in spondylodiscitis; second, she did not have any related comorbities.
Biography
Hsieh Yuan Kuei has completed his Medical Training at Taipei Medical University and Resident Training as Neurosurgeon at Chi Mei Hospital. He got his Master
degree at Taipei Medical University.
Hsieh Yuan Kuei, J Infect Dis Ther 2018, Volume 6
DOI: 10.4172/2332-0877-C1-039