CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2021; 12(03): 599-600
DOI: 10.1055/s-0041-1729477
Case Report

Isolated Discitis in Melioidosis: An Unknown Presentation and a Microbiological Challenge

1  Department of Neurosurgery, Aster Medcity, Kochi, India
,
Jacob Eapen Mathew
1  Department of Neurosurgery, Aster Medcity, Kochi, India
,
Chittur Viswanathan Gopalakrishnan
1  Department of Neurosurgery, Aster Medcity, Kochi, India
,
Arun Wilson
2  Department of Infectious Diseases, Aster Medcity, Kochi, India
› Author Affiliations

Abstract

Burkholderia pseudomallei causes Whitmore’s disease or melioidosis which is endemic in many South Asian countries including India. This gram-negative bacterium is frequently found in the moist soil and agricultural workers get infected most commonly. Most of the infections are asymptomatic and have a wide spectrum of manifestations as in tuberculosis. Melioidosis of the spine manifests as spondylodiscitis with paravertebral and prevertebral abscess and presentation as discitis alone is not reported. We report the first case of melioidosis causing isolated discitis without any obvious bony involvement. It also highlights the need for preoperative suspicion of these rare manifestations even in seemingly innocuous disc disease presenting as back pain and radiculopathy.



Publication History

Publication Date:
05 May 2021 (online)

© 2021. Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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