|Beitragstitel||Vertebral osteomyelitis due to anaerobic bacteria Veillonella parvula: Case Report and literature review.|
Study design: Case report and literature review.
Objective: Presentation of a case report of a Veillonella vertebral osteomyelitis in a 79-year old man and review of literature.
Introduction: While pyogenic vertebral osteomyelitis due to Gram-positive aerobic bacteria and its treatment is well known, vertebral osteomyelitis caused by anaerobic Gram-negative pathogen is rare. In particular, the vertebral osteomyelitis caused by Veillonella species is an absolute rarity. Thus no established management recommendations exist.
Methods: A case report of a 79-year-old man with Veillonella vertebral osteomyelitis with intramuscular abscess collection managed conservatively with stand-alone antibiotic therapy without a spinal stabilization procedure.
A review of literature of all reported Veillonella vertebral osteomyelitis was performed.
Results: After 3 week-intravenous therapy with the ceftriaxone in combination with the metronidazole followed by 3 week-peroral therapy with amoxicillin/clavulanate, the complete recovery of the patient with the Veillonela species infection was achieved.
Conclusion: Treatment of the Veillonella vertebral osteomyelitis should contain a betalactam with betalactamase inhibitor or third generation cephalosporine. Six weeks of treatment seem to be sufficient for the complete recovery of the patient.