Editor-in-Chief: Alaa Abd-Elsayed, MD, PhD
BACKGROUND: Diagnosing spondylodiscitis is challenging and associated with delay. The purpose of this publication is to reduce diagnostic latency of discitis and to provide a reference for diagnostic modalities to assist pain physicians when evaluating patients with nonspecific back pain.
CASE REPORT: A 75-year-old man was admitted to the hospital 2 months post total hip arthroplasty owing to severe back and chest pain. Urine and blood cultures were positive for gram-negative bacteria. The patient was treated with antibiotics and referred to an outpatient pain clinic for the treatment of post laminectomy pain syndrome. Diagnostic images showed concern for discitis. Treatment methods led to the successful diagnosis and treatment of Klebsiella pneumoniae spondylodiscitis.
CONCLUSION: A limited number of K. pneumoniae discitis cases have been reported. Pain physicians must be weary of signs and symptoms associated with spondylodiscitis and implement the diagnostic tools when necessary. Earlier diagnosis and appropriate treatment will result in improved outcomes.
KEY WORDS: Spondylodiscitis, discitis, Klebsiella pneumoniae, spinal infection