Spondylodiscitis caused by Prevotella intermedia: A case report and literature review

Publication date: Available online 11 July 2017
Source:Interdisciplinary Neurosurgery
Author(s): Michael Opoku-Darko, W. Bradley Jacobs
BackgroundSpondylodiscitis is commonly caused by Staphylococcus aureus. Anaerobic organisms are the causative agents in only 3–4% of cases. Diagnosis of anaerobic spondylodiscitis can be challenging due to their low virulence nature.Case descriptionWe describe a rare case of spondylodiscitis caused by Prevotella intermedia managed with antibiotics and spinal instrumentation and highlight the challenges in diagnosis in such cases.ConclusionLow virulent anaerobic spondylodiscitis can be difficult to diagnose. A high degree of suspicion is necessary and multiple attempts at pathogen identification, including possible open surgical biopsy may be required for diagnosis. A good prognosis is possible in appropriately managed cases.



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