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Journal of Clinical Microbiology, May 2003, p. 2223-2226, Vol. 41, No. 5
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.5.2223-2226.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Spondylodiscitis Due to Clostridium ramosum Infection in an Immunocompetent Elderly Patient

Jean-Philippe Lavigne,1,2* Nicole Bouziges,1 Albert Sotto,3 Jean-Louis Leroux,4 and Sylvie Michaux-Charachon1,2

Laboratoire de Bactériologie, Virologie et Parasitologie,1 Service de Médecine Interne B,3 Service de Rhumatologie, CHU Carémeau, 30029 Nîmes Cedex 9,4 Institut National de la Santé et de la Recherche Médicale, Unité 431, Faculté de Médecine, 30029 Nîmes, France2

Received 8 August 2002/ Returned for modification 9 November 2002/ Accepted 25 January 2003

The first ever case of spondylodiscitis caused by Clostridium ramosum in an elderly immunocompetent patient has been reported. C. ramosum is usually an intestinal bacterium but may occasionally be isolated in clinical specimens as an opportunistic pathogen. This report shows that this anaerobic organism can cause bone tropism without there having been any contamination due to spinal surgery. The infection cleared after empirical therapy using intravenous amoxicillin and oral metronidazole.

* Corresponding author. Mailing address: Laboratoire de Bactériologie, Virologie, Parasitologie CHU Carémeau, Rue du Professeur Debré, 30029 Nîmes Cedex 9, France. Phone: (33) 4 66 68 32 02. Fax: (33) 4 66 68 42 54. E-mail: micro{at}sc.univ-montp1.fr.

Journal of Clinical Microbiology, May 2003, p. 2223-2226, Vol. 41, No. 5
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.5.2223-2226.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.





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Copyright © 2003 by the American Society for Microbiology. All rights reserved.