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J Infect Chemother. 2019 Jun;25(6):470-472. doi: 10.1016/j.jiac.2019.01.001. Epub 2019 Feb 14.

A case of Klebsiella pneumoniae spondylitis and bacteremia potentially due to inflammation around a fecalith.

Author information

1
Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan.
2
Disease Control and Prevention Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan. Electronic address: moriyama.yuki1986@gmail.com.
3
Department of Diagnostic Radiology, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo, 162-8655, Japan.

Abstract

We herein report a case of Klebsiella pneumoniae (K. pneumoniae) spondylitis and bacteremia in a 90-year-old man with diabetes mellitus who had undergone sigmoidectomy and had a fecalith. Two months prior to admission, he had received antimicrobial treatment for 2 weeks for K. pneumoniae bacteremia whose entry was unclear and he was readmitted to our hospital owing to fever and stomachache. K. pneumoniae was isolated from two sets of blood cultures, and computed tomography and magnetic resonance imaging revealed inflammation and destruction of the 8th and 9th thoracic vertebra. The diagnosis was spondylodiscitis secondary to K. pneumoniae bacteremia. Although the entry point for K. pneumoniae was unclear, we suggest that inflammation of the mucosa around the fecalith might have caused the Enterobacteriaceae bacteremia.

KEYWORDS:

Bacteremia; Fecalith; Klebsiella pneumoniae; Spondylitis

PMID:
30773382
DOI:
10.1016/j.jiac.2019.01.001

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