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Journal of Clinical Microbiology, February 2007, p. 672-674, Vol. 45, No. 2
0095-1137/07/$08.00+0     doi:10.1128/JCM.01633-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Veillonella parvula Discitis and Secondary Bacteremia: a Rare Infection Complicating Endoscopy and Colonoscopy?{triangledown}

D. Marriott,* D. Stark, and J. Harkness

St. Vincent's Hospital, Department of Microbiology, Sydney, Australia

Received 8 August 2006/ Returned for modification 11 September 2006/ Accepted 6 November 2006

We report a case of Veillonella parvula lumbar discitis and secondary bacteremia confirmed by molecular characterization of the 16S rRNA genes. Identification of the organism was essential for an appropriate choice of antimicrobial therapy following the failure of empirical flucloxacillin. Veillonella spp. are normal flora of the gastrointestinal tract, raising the possibility that an endoscopy and colonoscopy performed 8 weeks prior to presentation, during which small intestinal and rectal biopsies were obtained, was the portal of entry. This case highlights the importance of obtaining a microbiologic diagnosis, particularly in patients who previously have had procedures involving instrumentation.

* Corresponding author. Mailing address: Department of Microbiology, St.Vincent's Hospital, Darlinghurst, Sydney, NSW 2010, Australia. Phone: 61 2 8382 9195. Fax: 61 2 8382 2989. E-mail: dmarriott{at}stvincents.com.au.

{triangledown} Published ahead of print on 15 November 2006.

Journal of Clinical Microbiology, February 2007, p. 672-674, Vol. 45, No. 2
0095-1137/07/$08.00+0     doi:10.1128/JCM.01633-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.





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