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Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection

Pyogenic spondylodiscitis is rarely caused by Burkholderia cepacia complex. B. cepacia is widespread in the environment and recognized as an opportunistic pathogen for patients with cystic fibrosis and immune disorders. A female in her mid-30s with underlying hyperthyroidism, but otherwise immunocom...

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Autores principales: Subramanian, Rachel, Fitzgibbons, Lynn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865995/
https://www.ncbi.nlm.nih.gov/pubmed/35223115
http://dx.doi.org/10.1155/2022/4378442
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author Subramanian, Rachel
Fitzgibbons, Lynn
author_facet Subramanian, Rachel
Fitzgibbons, Lynn
author_sort Subramanian, Rachel
collection PubMed
description Pyogenic spondylodiscitis is rarely caused by Burkholderia cepacia complex. B. cepacia is widespread in the environment and recognized as an opportunistic pathogen for patients with cystic fibrosis and immune disorders. A female in her mid-30s with underlying hyperthyroidism, but otherwise immunocompetent, was admitted to the hospital with persistent lower back pain after elective bariatric surgery in Mexico. Lumbar MRI showed L2/L3 osteomyelitis and discitis. Culture of disk aspiration grew Burkholderia cepacia complex sensitive to cefepime, ceftazidime, ciprofloxacin, gentamicin, imipenem, levofloxacin, and trimethoprim-sulfamethoxazole. The infection failed to respond to cefepime; however, she was successfully treated with levofloxacin monotherapy.
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spelling pubmed-88659952022-02-24 Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection Subramanian, Rachel Fitzgibbons, Lynn Case Rep Infect Dis Case Report Pyogenic spondylodiscitis is rarely caused by Burkholderia cepacia complex. B. cepacia is widespread in the environment and recognized as an opportunistic pathogen for patients with cystic fibrosis and immune disorders. A female in her mid-30s with underlying hyperthyroidism, but otherwise immunocompetent, was admitted to the hospital with persistent lower back pain after elective bariatric surgery in Mexico. Lumbar MRI showed L2/L3 osteomyelitis and discitis. Culture of disk aspiration grew Burkholderia cepacia complex sensitive to cefepime, ceftazidime, ciprofloxacin, gentamicin, imipenem, levofloxacin, and trimethoprim-sulfamethoxazole. The infection failed to respond to cefepime; however, she was successfully treated with levofloxacin monotherapy. Hindawi 2022-02-16 /pmc/articles/PMC8865995/ /pubmed/35223115 http://dx.doi.org/10.1155/2022/4378442 Text en Copyright © 2022 Rachel Subramanian and Lynn Fitzgibbons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Subramanian, Rachel
Fitzgibbons, Lynn
Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title_full Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title_fullStr Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title_full_unstemmed Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title_short Burkholderia cepacia Complex Lumbar Spondylodiscitis: A Rare Nosocomial Infection
title_sort burkholderia cepacia complex lumbar spondylodiscitis: a rare nosocomial infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865995/
https://www.ncbi.nlm.nih.gov/pubmed/35223115
http://dx.doi.org/10.1155/2022/4378442
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