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J Med Microbiol 57 (2008), 652-655; DOI: 10.1099/jmm.0.47614-0
© 2008 Society for General Microbiology
ISSN 1473-5644

Case Report

Cervical spondylodiscitis with spinal epidural abscess caused by Aggregatibacter aphrophilus

Leonella Pasqualini1, Antonella Mencacci2, Anna Maria Scarponi1, Christian Leli1, Gianluigi Fabbriciani1, Laura Callarelli1, Giuseppe Schillaci1, Francesco Bistoni2 and Elmo Mannarino1

1 Internal Medicine, Angiology and Arteriosclerosis Section, Department of Clinical and Experimental Medicine, University of Perugia Medical School, Hospital ‘Santa Maria della Misericordia’, Piazzale Menghini 1, I-06129 Perugia, Italy

2 Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Perugia, Italy

Correspondence
Leonella Pasqualini
lpasqua{at}unipg.it

Received 5 September 2007
Accepted 9 January 2008

Spondylodiscitis caused by Aggregatibacter aphrophilus, formerly known as Haemophilus paraphrophilus, is an unusual condition and can be very difficult to diagnose. We report a case of cervical spondylodiscitis complicated by spinal epidural abscess in a 63-year-old woman, without underlying predisposing conditions. The source of infection was identified as a periodontal infection. The patient was successfully treated with systemic antibiotics.

Abbreviations: MRI, magnetic resonance imaging.




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