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Spondylodiscitis of lumbar complicated with spinal epidural abscess caused by Parvimonas micra: A case report and literature review – Lumbar Spinal Stenosis

The article discusses a rare case of spinal infection caused by Parvimonas micra, a type of bacteria. A 60-year-old man presented with lower back pain and left lower limb numbness, eventually diagnosed with spondylodiscitis of the lumbar spine complicated with a spinal epidural abscess. The patient underwent surgical treatment and was successfully treated with a combination of antibiotics. The culture initially came back negative, but metagenomic next-generation sequencing (mNGS) was able to identify the bacteria. The case highlights the importance of using advanced diagnostic techniques like mNGS when traditional cultures fail to identify the pathogen

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Spinal infection caused by Parvimonas micra (P. micra) is a rare infection. The characteristic imageology includes spondylodiscitis, spondylitis, paravertebral abscess, and epidural abscess. One case of spondylodiscitis of lumbar complicated with spinal epidural abscess caused by P. micra was admitted to the Department of Spinal Surgery, Xiangya Hospital, Central South University on February, 2023. This case is a 60 years old man with lower back pain and left lower limb numbness. MRI showed…

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Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Dec 28;48(12):1929-1936. doi: 10.11817/j.issn.1672-7347.2023.230139.ABSTRACTSpinal infection caused by Parvimonas micra (P. micra) is a rare infection. The characteristic imageology includes spondylodiscitis, spondylitis, paravertebral abscess, and epidural abscess. One case of spondylodiscitis of lumbar complicated with spinal epidural abscess caused by P. micra was admitted to the,

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Dec 28;48(12):1929-1936. doi: 10.11817/j.issn.1672-7347.2023.230139.

ABSTRACT

Spinal infection caused by Parvimonas micra (P. micra) is a rare infection. The characteristic imageology includes spondylodiscitis, spondylitis, paravertebral abscess, and epidural abscess. One case of spondylodiscitis of lumbar complicated with spinal epidural abscess caused by P. micra was admitted to the Department of Spinal Surgery, Xiangya Hospital, Central South University on February, 2023. This case is a 60 years old man with lower back pain and left lower limb numbness. MRI showed spondylitis, spondylodiscitis, and epidural abscess. The patient underwent debridement, decompression and fusion surgery. The culture of surgical sample was negative. P. micra was detected by metagenomic next-generation sequencing (mNGS). The postoperative antibiotic treatment included intravenous infusion of linezolid and piperacillin for 1 week, then intravenous infusion of ceftazidime and oral metronidazole for 2 weeks, followed by oral metronidazole and nerofloxacin for 2 weeks. During the follow-up, the lower back pain and left lower limb numbness was complete remission. Spinal infection caused by P. micra is extremely rare, when the culture is negative, mNGS can help the final diagnosis.

PMID:38448387 | DOI:10.11817/j.issn.1672-7347.2023.230139

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Spondylodiscitis of lumbar complicated with spinal epidural abscess caused by Parvimonas micra: A case report and literature review

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Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2023 Dec 28;48(12):1929-1936. doi: 10.11817/j.issn.1672-7347.2023.230139.ABSTRACTSpinal infection caused by Parvimonas micra (P. micra) is a rare infection. The characteristic imageology includes spondylodiscitis, spondylitis, paravertebral abscess, and epidural abscess. One case of spondylodiscitis of lumbar complicated with spinal epidural abscess caused by P. micra was admitted to the
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