Spondylodiscitis and an aortic aneurysm due to Campylobacter coli

Abstract

Campylobacter coli is a rare cause of bacteremia. We report here the first case of C.coli spondylodiscitis complicated by an aortic aneurysm. Outcome was favourable with surgery and antibiotic therapy.

Molecular Detection of Campylobacter jejuni as a Cause of Culture-Negative Spondylodiscitis

“…Campylobacter bacteremia has been found to have an incidence of 0.1% to 1% in relation to enteritis (5), and patients aged 65 or higher had an incidence which was 3 times higher than that in younger age groups (10). In line with other reports about Campylobacter spondylodiscitis, our patient was over 60 years of age (1,3,6,12,13) and had an underlying medical condition (8,12). However, cases without explicit predisposing conditions have also been reported in the elderly (3,6,13), and Campylobacter bacteremia studies showed inconsistent results regarding patient age and underlying diseases (5).…”

“…As also seen in our case, spondylodiscitis due to Campylobacter spp. is often accompanied by nearby abscesses, such as in the psoas muscle (3,6), near the vertebral column (1,6), or near the dura mater (12,13). One case of concomitant pyogenic meningoencephalitis has also been described (9).…”

“…from animal reservoirs in Germany (2). The antibacterial treatment reported by others consisted of cefotaxime followed by ciprofloxacin (6,12), ofloxacin plus rifampin, which was later changed to amoxicillin (3), or doxycycline and erythromycin (13) and was combined with surgery in almost all patients. There are no international recommendations for the treatment of lumbar spondylodiscitis (3).…”

A Nationwide Study of Campylobacter jejuni and Campylobacter coli Bacteremia in Finland Over a 10-Year Period, 1998-2007, With Special Reference to Clinical Characteristics and Antimicrobial Susceptibility

“…We found 2 severe complications during or immediately after bacteremic episodes, Guillain-Barré syndrome and cervical spondylodiscitis in 1 patient each. Although C. coli has been reported to cause spondylodiscitis [ 35 ], to the best of our knowledge, this is the first time a patient with C. jejuni bacteremia is reported to have spondylodiscitis. The bacterial aspirate, obtained during surgical drainage of the spinal abscesses, was negative, probably owing to the already initiated appropriate antimicrobial treatment.…”

Infectious endocarditis caused by Cardiobacterium valvarum

“…This allows the immediate AST-/MIC-adapted EUCASTrecommended antibiotic treatment in immunocompromised febrile patients suffering from Campylobacter-induced haemorrhagic diarrhoea. It remains unclear whether this reported Campylobacter sepsis case was related to previous dasatinib therapy, underlying CML disease or a highly virulent Campylobacter strain (Wu et al, 2013;Lemaire et al, 2010). Further clinical studies are warranted in this respect.…”