Burkholderia cepacia complex Cervical Osteomyelitis in an Intravenous Drug User
Joint Authors
Li, Sui Kwong
Messer, William B.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Gram-negative vertebral osteomyelitis infections are increasing due to rising intravenous drug use but overall remain uncommon.
Here, we present a case of Burkholderia cepacia complex cervical osteomyelitis in an intravenous drug user.
Burkholderia cepacia complex vertebral osteomyelitis has been infrequently described in the literature thus far with varied antibiotic treatment regimens.
A 68-year-old male presented to the emergency department with neck pain after minor trauma.
He endorsed active intravenous heroin and methamphetamine use.
CT and MRI imaging of the cervical spine revealed destructive changes of C5-C6 vertebral bodies consistent with osteomyelitis.
Neurological exam was stable and vital signs were within normal limits; so, antibiotics were held, and he was admitted for diagnostic evaluation.
Five sets of blood cultures were drawn on admission and were ultimately negative.
He subsequently underwent C5-C6 corpectomy, C4-C7 anterior fusion, and C3-T1 posterior fusion with allograft placement.
Deep operative tissue cultures grew Burkholderia cepacia complex.
He was treated with 6 weeks of intravenous ceftazidime followed by indefinite oral minocycline due to hardware placement.
Burkholderia cepacia complex should be considered among pathogenic etiologies of pyogenic vertebral osteomyelitis, particularly among patients with intravenous drug use.
Ceftazidime monotherapy was an effective treatment in this particular case.
American Psychological Association (APA)
Li, Sui Kwong& Messer, William B.. 2018. Burkholderia cepacia complex Cervical Osteomyelitis in an Intravenous Drug User. Case Reports in Infectious Diseases،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1144646
Modern Language Association (MLA)
Li, Sui Kwong& Messer, William B.. Burkholderia cepacia complex Cervical Osteomyelitis in an Intravenous Drug User. Case Reports in Infectious Diseases No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1144646
American Medical Association (AMA)
Li, Sui Kwong& Messer, William B.. Burkholderia cepacia complex Cervical Osteomyelitis in an Intravenous Drug User. Case Reports in Infectious Diseases. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1144646
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144646