Uncommon cervical pain due by Bacillus pumilus spondylodiscitis in an immunocompetent patient: a case report

Acta Biomed. 2021 Nov 4;92(S1):e2021136. doi: 10.23750/abm.v92iS1.10189.

Abstract

A fifty-three year-old military patient, presented with a 3 months neck pain and paraesthesia of upper right extremity after gastroscopy. Radiological examination demonstrated anuncertain degenerative/infective involvement of C6-C7 intervertebral disc. The patient underwent anterior debridement with C5-C6 disc excisional biopsy, with microbiological findings of Bacillus pumilus with high bacterial concentration. After biopsy, segment arthrodesis was achieved only with vertebral plate cruentation and 3 months of cervical collar. He completed a six-weeks course of intravenous antibiotics for the treatment of atypical spondylodiscitis. At one year of follow-up, he had no residual neck pain or neurological signs or symptoms.

Publication types

  • Case Reports

MeSH terms

  • Bacillus pumilus*
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / surgery
  • Discitis* / complications
  • Discitis* / diagnostic imaging
  • Discitis* / drug therapy
  • Humans
  • Intervertebral Disc Displacement*
  • Male
  • Middle Aged
  • Neck Pain / etiology