Species (spp.) belonging to the genus Fusobacterium are anaerobic commensals colonizing the upper respiratory tract, the gastrointestinal tract, and the genitals. Infections with Fusobacterium spp. have been reported at many anatomical sites, including pneumonias and pleural empyemas; however, there are very few published cases of Fusobacterium spp. causing spondylodiscitis or fistulas. Bone infections with Fusobacterium can spread directly to surrounding muscular tissue or by hematogenous transmission to any other tissue including pleurae and lungs. Similarly, pleural infections can spread Fusobacterium spp. to any other tissue including fistulas and bone. Concomitant pleural empyema and spondylodiscitis are rare; however, there are a few published cases with concomitant disease, although none caused by Fusobacterium spp. A 77-year-old female patient was assessed using computed tomography (CT) scanning of the thorax and abdomen, as well as analyses of fluid drained from the region affected by the pleural empyema. A diagnosis of Fusobacterium empyema, fistula, bacteremia, and spondylodiscitis was made, and the patient’s condition improved significantly after drainage of the pleural empyema and relevant long-term antibiotic treatment. We describe the first confirmed case with concomitant infection with Fusobacterium nucleatum as spondylodiscitis and pleural empyema connected by a fistula.

中文翻译：

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具核梭杆菌脊椎椎间盘炎通过瘘管与胸膜积脓相通的独特病例

属于梭杆菌属的物种 (spp.) 是定植于上呼吸道、胃肠道和生殖器的厌氧共生菌。梭杆菌感染。已在许多解剖部位报告，包括肺炎和胸膜脓肿；然而，极少数已发表的梭杆菌属病例。导致椎间盘炎或瘘管。梭杆菌的骨感染可以直接传播到周围的肌肉组织或通过血行传播到任何其他组织，包括胸膜和肺。同样，胸膜感染可以传播梭杆菌属 任何其他组织，包括瘘管和骨骼。胸膜积脓和椎间盘炎罕见；然而，有一些已发表的伴随疾病的病例，尽管没有一个是由梭杆菌属引起的。使用胸部和腹部的计算机断层扫描 (CT) 扫描以及对从受胸膜积脓影响的区域引流的液体进行分析，对一名 77 岁女性患者进行了评估。诊断为脓胸梭杆菌、瘘管、菌血症、椎间盘炎，经胸膜脓胸引流及相关长期抗生素治疗后病情明显好转。我们描述了首例伴有核梭杆菌感染的确诊病例 如椎间盘炎和胸膜积脓，由瘘管相连。