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- B Chazan, J Strahilevitz, M A Millgram, S Kaufmann, and R Raz.
- Infectious Diseases Unit Ha'Emek Medical Center, Afula, Israel. raz_r@clalit.org.il
- Spine. 2001 Aug 15; 26 (16): E377-8.
Study DesignA case report of anaerobic vertebral osteomyelitis after anal dilatation.ObjectivesTo present a patient with monomicrobial anaerobic vertebral osteomyelitis secondary to a previously undescribed source of infection.Summary Of Background DataA 17-year-old boy presented with low back pain 3 months after anal dilatation.MethodsPhysical examination, technetium-99m bone scan, plain radiograph, CT, and MRI studies of the lumbar spine were used to clinically diagnose lumbar osteomyelitis. Culture material from the involved disc was positive for Bacteroides fragilis.ResultsThe patient recovered after 8 weeks of treatment with oral metronidazole.ConclusionsBacteroides fragilis hematogenous osteomyelitis is a rare entity. This is the first reported case of such disease after anal dilatation.
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