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Decompressive Laminectomy Complicated by Postoperative Mycoplasma hominis Epidural Abscess and Meningitis in a Young Woman

A Case Report

Chew, Rusheng, MB, BChir, BMedSci, DTM&H, DRCOG, DHMSA1; Woods, Marion L., MD, MPH, FRACP, FACP, FAPHM1,a

doi: 10.2106/JBJS.CC.O.00139
Case Reports

Case: A twenty-eight-year-old woman underwent decompressive laminectomy and placement of an interlaminar stabilizer due to L4/L5 disc herniation. Thirteen days later she developed a fever unresponsive to meropenem and vancomycin, along with signs of meningitis. A Mycoplasma hominis epidural abscess was identified. She had no preoperative risk factors for extragenital M. hominis infection, but had had a urinary catheter inserted intraoperatively.

Conclusion: M. hominis postoperative surgical site infection is a rarely identified complication of spinal surgery. Seeding from the genitourinary tract is the most likely source.

1Department of Infectious Diseases, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia

aE-mail address for M.L. Woods:

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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