Hematogenous anaerobic vertebral osteomyelitis due to Bacteroides fragilis in a diabetic patient.

Eur J Intern Med · 2003

case_report · Level V

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Abstract

We report the case of a 70-year-old diabetic man with spontaneous vertebral osteomyelitis due to Bacteroides fragilis. Diagnosis was obtained on positive blood cultures. The port of entry remained unknown despite extensive investigation. A combination of metronidazole and clindamycin led to a clinical cure with no need for surgical débridement and no relapse after 9 months of follow-up.