Spontaneous spondylodiscitis caused by Klebsiella pneumoniae

A rare case of spontaneous spondylodiscitis caused by Klebsiella pneumoniae in a 55-year-old man who presented with thoracolumbar pain is described. I ncreased erythrocyte sedimentation rate and C-reactive protein level were p ertinent laboratory findings. Computed tomography revealed a paravertebral mass and destruction of the loth and 11th vertebrae. Magnetic resonance ima ging (MRI) showed spondylodiscitis in the same area. Culture of a biopsy sa mple from the mass grew Klebsiella pneumoniae, while histological examinati on confirmed the inflammation. A combination of ceftazidime, amikacin and c iprofloxacin resulted in disappearance of the pain. Two months later, MRI s howed substantial improvement of the lesions.