A Case of Pyogenic Spondylitis after Surgery for Oral Floor Cancer


We report the case of a patient who developed pyogenic spondylitis after surgery for oral floor cancer. This 85-year-old man was evaluated at our hospital for a mass in the left floor of the mouth. Oral floor cancer (T2N0M0) was diagnosed. Surgical resection of the tumor was performed twice. On postoperative day 14, he developed sudden neck pain, followed by fever the next day and a gradual decrease in blood pressure. Septic shock was diagnosed, and echocardiography was performed, but no evidence of infective endocarditis was found. Findings on neck magnetic resonance imaging suggested pyogenic spondylitis, and ultimately pyogenic spondylitis causing septic shock was diagnosed. In patients with a compromised immune system after surgery who develop neck pain and fever, the possibility of pyogenic spondylitis as a complication should be kept in mind.

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Mano, T. , Yamanouchi, R. , Miyamoto, J. , Umeda, H. and Ueyama, Y. (2014) A Case of Pyogenic Spondylitis after Surgery for Oral Floor Cancer. Open Journal of Stomatology, 4, 258-262. doi: 10.4236/ojst.2014.45036.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Faidas, A., Ferguson Jr., J.V., Nelson, J.E. and Baddour, L.M. (1994) Cervical Vertebral Osteomyelitis Presenting as a Retropharyngeal Abscess. Clinical Infectious Diseases, 18, 992-994.
[2] Tasdemiroglu, E., Sengöz, A. and Bagatur, E. (2004) Iatrogenic Spondylodiscitis. Case Report and Review of Literature. Neurosurgical Focus, 16, 1-5.
[3] Korovessis, P., Repantis, T. and Hadjipavlou, A.G. (2012) Hematogenous Pyogenic Spinal Infection: Current Perceptions. Orthopedics, 35, 885-892.
[4] Fantoni, M., Trecarichi, E.M., Rossi, B., Mazzotta, V., Di Giacomo, G., Nasto, L.A., Di Meco, E. and Pola, E. (2012) Epidemiological and Clinical Features of Pyogenic Spondylodiscitis. European Review for Medical and Pharmacological Sciences, 16, 2-7.
[5] Messer, H.D. and Litvinoff, J. (1976) Pyogenic Cervical Osteomyelitis. Archives of Neurology, 33, 571-576.
[6] Eismont, F.J., Bohlman, H.H., Soni, P.L., Goldberg, V.M. and Freehafer, A.A. (1983) Pyogenic and Fungal Vertebral Osteomyelitis with Paralysis. Journal of Bone and Joint Surgery, 65A, 19-29.
[7] Tali, E.T. (2004) Spinal Infection. European Journal of Radiology, 50, 120-133.
[8] Cheung, W.Y. and Luk, K.D.K. (2012) Pyogenic Spondylitis. International Orthopaedics, 36, 397-404.
[9] Morishita, S., Fujiwara, H., Murota, H., Maeda, Y., Hara, A. and Horii T. (2013) Bloodstream Infection Caused by Campylobacter Lari. Journal of Infection and Chemotherapy, 19, 333-337.
[10] Solís-Garcia del Pozo, J., Martinez-Alfaro, E., Abad, L. and Solera, J. (2000) Vertebral Osteomyelitis Caused by Streptococcus agalactiae. Journal of Infection, 41, 84-90.

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