Henin G1, Delire B1, Marot JC2, de Ghellinck L3 and Dahlqvist G1*
1Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Belgium
2Department of Infectious Disease, Clinique Saint-Pierre, Belgium
3Department of Infectious disease, Cliniques Universitaires Saint-Luc, Belgium
Spondylodiscitis is a challenging infection in cirrhotic patients. Liver dysfunction makes the course of the infection more aggressive. We report the case of a 56-year-old man with a medical history of abstinent alcoholic cirrhosis and repeated infectious events including cervical abscess. He had been scuba diving instructor for 20 years. He presented to the emergency room for chills, rigor, and high temperature. A Citrobacter freundii prostatitis was identified and treated. Then he reported mechanical lower back pain persisting despite analgesia. MRI of the lumbar spine demonstrated L5/S1 spondylodiscitis with an unusual signal modification of S1 vertebral body. This case enlightens the high susceptibility to bacterial infections in cirrhosis. Special attention should be given in patients who scuba dive regularly in case of bacteremia with back pain.
Henin G, Delire B, Marot JC, de Ghellinck L, Dahlqvist G. Recurrent Spondylodiscitis in a Cirrhotic Scuba Diving Instructor. Ann Clin Case Rep. 2022; 7: 2331.