Spondylodiscitis and endocarditis caused by enterococcus faecalis
Keywords:
enterococcal infection, spondylodiscitis, endocarditisAbstract
Abstract
The authors describe the clinical case of a 69-year-old woman
admitted in the emergency department with a 3 months history of
persistent lumbalgia and fever. A dorsal meningioma surgery had
been performed 5 months before admission. Spondylodiscitis was
diagnosed by lumbar spine magnetic resonance. Enterococcus
faecalis was identified in several cultured samples. Aortic valve
endocarditis was also detected. After a long treatment with appropriate antibacterial agents the evolution was favorable.
The association of spondylodiscitis with endocarditis occurs in
about 15% of endocarditis cases. Being Enterococcus faecalis
infection a frequent cause of endocarditis, the association of
spondylodiscitis with endocarditis due to this microorganism is
surprisingly rare.
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