Vertebral osteomyelitis and epidural abscesses caused by Prevotella oralis: A case report

Hemant Goyal, Shitij Arora, Sneha Mishra, Syed Jamil, Uday Shah

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5 Scopus citations

Abstract

An interesting case of pyogenic vertebral osteomyelitis with multiple epidural abscesses caused by non-pigmented Prevotella oralis is reported. The patient was a 68-year-old female who presented to the emergency room (ER) with severe pain and tenderness in her lower back with fever. She had recently undergone esophagogastroduodensoscopy (EGD) for complaints of esophageal reflux, which showed submucosal cyst in the esophagus. Magnetic resonance imaging (MRI) of the thoracic spine revealed multiple spinal epidural abscesses with signal enhancement at the level of T6 and T7, suggestive of vertebral osteomyelitis. Two blood cultures drawn one hour apart grew Prevotella oralis. The body fluid aspirated from the abscesses was also positive for the anaerobic commensal P. oralis. Necrosis associated with the submucosal cyst was implicated as the cause of sepsis and osteomyelitis due to this organism.

Original languageEnglish (US)
Pages (from-to)594-596
Number of pages3
JournalBrazilian Journal of Infectious Diseases
Volume16
Issue number6
DOIs
Publication statusPublished - Nov 1 2012
Externally publishedYes

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Keywords

  • Anaerobes
  • Prevotella
  • Vertebral osteomyelitis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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