A Case of Bacillus licheniformis Spondylitis and Bacteremia in a Patient with Lung Cancer

Ho-Su Kim; En-Ju Lee; Eun-Jin Bae; Min-Kyo Kim; Jaehyung Hur; Oh-Hyun Cho; Dong Ho Kang; Sunjoo Kim; Jae-Bum Jun; In-Gyu Bae

doi:10.3947/ic.2012.44.6.512

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Kim, Lee, Bae, Kim, Hur, Cho, Kang, Kim, Jun, and Bae: A Case of Bacillus licheniformis Spondylitis and Bacteremia in a Patient with Lung Cancer

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(6): 512-515.

Published online: 31 December 2012

DOI: https://doi.org/10.3947/ic.2012.44.6.512

A Case of Bacillus licheniformis Spondylitis and Bacteremia in a Patient with Lung Cancer

Ho-Su Kim¹, En-Ju Lee¹, Eun-Jin Bae¹, Min-Kyo Kim¹, Jaehyung Hur¹, Oh-Hyun Cho¹, Dong Ho Kang⁴, Sunjoo Kim^2,⁴, Jae-Bum Jun⁵, In-Gyu Bae^1,⁴

¹Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.

²Department of Neurosurgery, Gyeongsang National University School of Medicine, Jinju, Korea.

³Department of Laboratory Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.

⁴Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea.

⁵Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Correspondence to In-Gyu Bae, M.D. Department of Internal Medicine, Gyeongsang National University School of Medicine, 79 Gangnam-ro, Jinju 660-702, Korea. Tel: +82-55-750-8055, Fax: +82-55-758-9122, ttezebae@gmail.com

Received 22 June 2012 Revised 26 July 2012 Accepted 25 October 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bacillus licheniformis is an aerobic, gram-positive, spore-forming rod bacteria usually found in the environment. Infections with B. licheniformis are rare and usually associated with an immunocompromised state, trauma, and an indwelling catheter. We report a case of bacteremic B. licheniformis spondylitis following vertebroplasty in a patient with lung cancer.

Keywords: Bacillus species, Spondylitis, Bacteremia

Figures and Tables

Figure 1

MRI image showing compression deformities on the T11 and L5 vertebral bodies. The L1 vertebral body was in a vertebroplasty state. White arrow: linear enhancing area in T12-L2 level.

Figure 2

Pathologic analysis of the T12 vertebral body (A) showed that the bony tissue was surrounded by plasma cells, lymphocytes, and granulocytes (black arrow) (H & E stain, ×100). The L1 vertebral body (B) showed a diffuse necrosis of marrow cells and osteocytic lacunae (black arrow) as well as fat necrosis (empty arrow) in the marrow space (H & E stain, ×200).

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