Spontaneous Bacteroides fragilis spondylodiscitis in an elderly lady

Author:

Weinberg Sharon Esther,Tabet Patrick Paul,McGregor Claire Elizabeth,Arvidsson Alice Maria

Abstract

A 76-year-old woman presented following two episodes of unexplained falls at home. Blood cultures were positive for Bacteroides fragilis and following investigations she was diagnosed with L4/L5 spondylodiscitis confirmed on spine MRI. She was initially treated with intravenous metronidazole and flucloxacillin prior to switching to ceftriaxone with good results. No primary cause of B. fragilis bacteraemia was found in this case. B. fragilis is a rare cause of spondylodiscitis.

Publisher

BMJ

Subject

General Medicine

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