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http://hdl.handle.net/1942/29180
Title: | Campylobacter fetus spondylodiscitis in a patient with HIV infection and restored CD4 count | Authors: | Laenens, D PLAZIER, Mark VAN DER HILST, Jeroen MESSIAEN, Peter |
Issue Date: | 2018 | Source: | BMJ case reports, 2018, (Art N° 225272). | Abstract: | Campylobacter fetus (C. fetus) is a rare condition and mostly seen in elderly or immunocompromised patients. We present the first case of C. fetus spondylodiscitis in a virologically suppressed HIV seropositive patient with low back pain. MRI was performed and showed spondylodiscitis of the L4-L5 region. Empirical antibiotic therapy with flucloxacillin was started after blood cultures were drawn and an image-guided disc biopsy was performed. Blood cultures remained negative. The anaerobic culture of the puncture biopsy of the disc revealed presence of C. fetus after which the antibiotic treatment was switched to ceftriaxone. Guided by the susceptibility results, the therapy was switched to ciprofloxacin orally for 6 weeks after which the patient made full clinical, biochemical and radiographic recovery. Since no other immune-deficient conditions were noted, it is important to highlight that patients with HIV infection with restored CD4 counts and complete virological suppression can still be susceptible for infections caused by rare pathogens. Low back pain should raise suspicion for these conditions and should be examined properly. | Notes: | Provenance and peer review Not commissioned; externally peer reviewed. | Document URI: | http://hdl.handle.net/1942/29180 | Link to publication/dataset: | https://casereports.bmj.com/content/2018/bcr-2018-225272.long | e-ISSN: | 1757-790X | DOI: | 10.1136/bcr-2018-225272 | Rights: | BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ. | Category: | A1 | Type: | Journal Contribution | Validations: | vabb 2021 |
Appears in Collections: | Research publications |
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BMJ case reports.pdf Restricted Access | Published version | 295.65 kB | Adobe PDF | View/Open Request a copy |
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