Micromonas micros: A rare anaerobic cause of late implant failure following spinal surgery.

The Journal of Spinal Cord Medicine Pub Date : 2022-03-01 Epub Date: 2019-10-30 DOI:10.1080/10790268.2019.1677984
Garret L Sobol, John I Shin, Michael J Vives, Lisa L Dever, Colin B Harris
{"title":"Micromonas micros: A rare anaerobic cause of late implant failure following spinal surgery.","authors":"Garret L Sobol,&nbsp;John I Shin,&nbsp;Michael J Vives,&nbsp;Lisa L Dever,&nbsp;Colin B Harris","doi":"10.1080/10790268.2019.1677984","DOIUrl":null,"url":null,"abstract":"<p><p><b>Context:</b> Delayed, postoperative, spine infections are rare, most commonly occurring secondary to fastidious, less virulent pathogens. The etiology may involve a distant infectious focus, not related to the index operation. Patients may present months, or even years postoperatively with pain related to mechanical implant failure, often without additional signs of systemic infection.<b>Findings:</b> We present the case of a 59-year-old male who developed rapid disk degeneration and implant failure seven months following instrumented lumbar fusion surgery. The causal organism was found to be Micromonas micros, an anaerobic bacterium typically located in the oral cavity and associated with periodontal disease. The patient was found to have extensive oral caries, which were presumed to have occurred secondary to poor oral hygiene and his use of fentanyl lozenges for chronic back pain. The patient was treated with revision staged spinal surgery and long-term intravenous antibiotics.<b>Conclusion/clinical relevance:</b> This case highlights an unusual etiology of delayed postoperative spinal implant failure and provides evidence for periodontal disease as a source of hematogenous seeding in postoperative spinal infections. The orthopaedist should also be aware of the potential relationship between poor oral hygiene and the use of high sugar content fentanyl lozenges in treating chronic back pain in these patients.</p>","PeriodicalId":501560,"journal":{"name":"The Journal of Spinal Cord Medicine","volume":" ","pages":"311-315"},"PeriodicalIF":0.0000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10790268.2019.1677984","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of Spinal Cord Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10790268.2019.1677984","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/10/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2

Abstract

Context: Delayed, postoperative, spine infections are rare, most commonly occurring secondary to fastidious, less virulent pathogens. The etiology may involve a distant infectious focus, not related to the index operation. Patients may present months, or even years postoperatively with pain related to mechanical implant failure, often without additional signs of systemic infection.Findings: We present the case of a 59-year-old male who developed rapid disk degeneration and implant failure seven months following instrumented lumbar fusion surgery. The causal organism was found to be Micromonas micros, an anaerobic bacterium typically located in the oral cavity and associated with periodontal disease. The patient was found to have extensive oral caries, which were presumed to have occurred secondary to poor oral hygiene and his use of fentanyl lozenges for chronic back pain. The patient was treated with revision staged spinal surgery and long-term intravenous antibiotics.Conclusion/clinical relevance: This case highlights an unusual etiology of delayed postoperative spinal implant failure and provides evidence for periodontal disease as a source of hematogenous seeding in postoperative spinal infections. The orthopaedist should also be aware of the potential relationship between poor oral hygiene and the use of high sugar content fentanyl lozenges in treating chronic back pain in these patients.

微小单胞菌:脊柱手术后植入物晚期失效的罕见厌氧原因。
背景:延迟的、术后的脊柱感染是罕见的,最常见的是继发于挑剔的、毒性较小的病原体。病因可能涉及远端感染病灶,与指数手术无关。患者可能在术后数月甚至数年出现与机械植入物失效相关的疼痛,通常没有其他全身感染的迹象。结果:我们报告了一例59岁男性患者,在腰椎融合术后7个月发生快速椎间盘退变和植入物失效。致病生物被发现是微单胞菌,一种通常位于口腔并与牙周病相关的厌氧细菌。患者被发现有广泛的口腔龋齿,推测是由于口腔卫生不良和使用芬太尼含片治疗慢性背痛所致。患者接受改良期脊柱手术和长期静脉注射抗生素治疗。结论/临床意义:本病例突出了术后延迟性脊柱植入失败的不寻常病因,并为牙周病作为术后脊柱感染的血液播散来源提供了证据。骨科医生也应该意识到口腔卫生不良与使用高糖芬太尼含片治疗这些患者的慢性背痛之间的潜在关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信