Spondylodiscitis is rarely caused by anaerobic germs and occurs mainly
in patients weakened by another infection. We report a case of Fusoba
cterium nucleatum spondylodiscitis in a 63-year-old man, This is the t
hird such report and the second in a non-immunodepressed patient. The
clinical presentation and laboratory findings in this type of spondylo
discitis vary little from those produced by other germs. Magnetic reso
nance imaging is the most useful diagnostic tool for spondylodiscitis.
The germ is isolated from a discal puncture aspirate in 66% of the ca
ses but can also be obtained from blood cultures. Anaerobic germs are
usually sensitive to penicillin or cephalosporins.