Ralstonia mannitolilytica as a rare cause of spondylodiscitis following endoscopic lumbar discectomy- A report of two cases |
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| Affiliation: | 1. Department of Orthopedic Surgery, Raymond Poincaré Hospital, 104 BD Raymond Poincaré, 92380, Garches, France;2. Department of Orthopedics and Traumatology, Pitié-Salpêtrière Hospital, AP-HP, Sorbonne University, 47-83 Boulevard de l''Hôpital, 75013, Paris, France;3. Physical Medicine and Rehabilitation Department, Raymond Poincaré Hospital, 104 BD Raymond Poincaré, 92380, Garches, France;1. Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt;2. Department of Orthopaedic Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt |
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| Abstract: | Ralstonia mannitolilytica is a low-virulence, gram-negative bacillus which causes opportunistic infections in immunosuppressed patients. Postoperative spondylodiscitis by R. mannitolilytica has not been reported so far. We report the management of two cases of postoperative spondylodiscitis caused by Ralstonia mannitolilytica presenting to our center within a span of one month following endoscopic lumbar discectomy at a different center. They were managed successfully by surgical debridement and appropriate antibiotics. In these two cases of R.mannitolilytica spondylodiscitis, prompt detection, and intensive treatment resulted in satisfactory outcomes in terms of fulfilling the purpose of the original surgery. |
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| Keywords: | Ralstonia mannitolilytica Post-operative spondylodiscitis Endoscopic lumbar discectomy Gram-negative bacilli |
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