Published in:
Open Access
01-12-2017 | Case report
Spondylodiscitis in a healthy 12-year-old girl with Extraintestinal pathogenic Escherichia coli (ExPEC) bacteraemia
Authors:
J. Gaschignard, G. Geslain, C. Mallet, M. Lorrot, N. Blot, M. Alison, S. Bonacorsi
Published in:
BMC Infectious Diseases
|
Issue 1/2017
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Abstract
Background
Escherichia coli (E. coli) is rarely implicated in bone or joint infections in children.
Case presentation
We discuss the case of a healthy 12-year-old girl with an E. coli bacteraemia and a T11-T12 spondylodiscitis revealed by magnetic resonance imaging. The strain harboured serogroup O1:K1 and virulence factors common to highly virulent extra intestinal pathogenic E. coli (ExPEC). Immunological work-up was normal.
Conclusion
The identification of E. coli in a spondylodiscitis should lead to the search for immunosuppression of the host and virulence factors of the strain, particularly those of ExPEC.