• Eur Spine J · Jun 2012

    Case Reports

    Veillonella spondylodiscitis in a healthy 76-year-old lady.

    • Thomas J Kishen, Steven T Lindstrom, Greg Etherington, and Ashish D Diwan.
    • Spine Service, St George Hospital and Clinical School, University of New South Wales, Sydney, Australia. thomaskishen@hotmail.com
    • Eur Spine J. 2012 Jun 1;21 Suppl 4:413-7.

    PurposeTo report a case of Veillonella spondylodiscitis in a healthy 76-year-old lady.MethodsA previously healthy 76-year-old lady presented with worsening axial back pain at the thoracolumbar junction, fever and loss of weight. Examination revealed deep tenderness over the thoracolumbar junction with painful and restricted spinal movements. The lower limb motor power, sensation and reflexes were normal.ResultsRadiographs of the lumbosacral spine showed evidence of spinal instability with lateral translation and loss of disc space at L1-L2. MRI scans revealed fluid intensity within the L1-L2 disc with infective debris elevating the posterior longitudinal ligament and narrowing the spinal canal. Both tissue and blood cultures were positive for the anaerobic organism, Veillonella. A staged anterior-posterior spinal surgery followed by an extended course of antibiotics resulted in the clinical improvement and normalisation of blood parameters. A review of the literature on Veillonella infections is also presented.ConclusionThe aim of this report is to bring Veillonella spondylodiscitis to the attention of spinal surgeons and infectious disease specialists and discuss the management options.

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