{"id":"b5c1533b-9a51-420f-9349-cb3caf481e5f","slug":"spondylodiscitis-due-to-anaerobic-bacteria-veillonella-parvula-case-report-and-literature-review","title":"Spondylodiscitis due to anaerobic bacteria Veillonella parvula: Case report and literature review","authors":["Michal Ziga","Daniele Gianoli","Frederike Waldeck","Cyrill Dennler","Rainer Schlichtherle","Thomas Forster","Benjamin Martens","Roman Schwizer"],"abstract":"Background: While pyogenic spondylodiscitis due to Gram-positive aerobic bacteria and its treatment is well known, spondylodiscitis caused by anaerobic Gram-negative pathogen is rare. In particular, the spondylodiscitis caused by Veillonella species is an absolute rarity. Thus no established management recommendations exist. Case Description: A case report of a 79-year-old man with spondylodiscitis caused by Veillonella parvula with intramuscular abscess collection managed conservatively with stand-alone antibiotic therapy without a spinal stabilization procedure. A review of literature of all reported spondylodiscitis caused by Veillonella species was performed. After 3 week-intravenous therapy with the ceftriaxone in combination with the metronidazole followed by 3 weeks per oral therapy with amoxicillin/clavulanate, the complete recovery of the patient with the V. parvula infection was achieved. Conclusion: Treatment of the spondylodiscitis caused by Veillonella species should contain a beta-lactam with beta-lactamase inhibitor or third-generation cephalosporine. Six weeks of treatment seem to be sufficient for the complete recovery of the patient.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/b5c1533b-9a51-420f-9349-cb3caf481e5f/featured/hero-1781561988663.png","publishDate":"2021-09-30T00:00:00.000Z","doi":"10.25259/SNI_769_2021","categories":["Infection","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/09/11143/SNI-12-496.pdf"}