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A Rare Case of Spondylodiscitis Due to Actinotignum schaalii in a Patient With Crohn's Disease

Tiesenga A, Birris TR, Schreiner W, Malaka D, Woods R, Wang MS

Journal of community hospital internal medicine perspectives, 2025

Abstract

We report a case of a 55-year-old male with a history of Crohn's Disease who presented for acute on chronic worsening back pain. He was found to have spondylodiscitis with adjacent myositis secondary to an uncommon urinary tract infection pathogen, Actinotignum schaalii. He underwent interventional radiology disc biopsy and open surgical biopsy with culture. He was successfully treated with a six-week course of IV daptomycin and ceftriaxone.

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