The examination showed clear breathing sounds on both lungs, and no fistula or subcutaneous mass on the neck. The patient denies any history of night sweats, tiredness, cough, loss of power in the upper limbs, tingling, numbness, and loss of appetite. This made the patient take painkillers daily before sleep. Furthermore, the patient had painful difficulty in swallowing, neck and upper limbs pain which were not relieved by rest or sleep. On February 19, 2021, the patient was admitted to our spinal surgery ward. The patient was a 64-year-old woman, with a chief complaint of neck, shoulder, and upper limb pain for 10 days. pneumoniae infection, whose pathogens were first identified by metagenomic next-generation sequencing (mNGS) and treated surgically. We recently admitted a patient with primary cervical K. pneumoniae especially preoperative is extremely rare. Klebsiella pneumoniae is a common pathogen of nosocomial infections, yet there are few reports of spinal infections caused by K. The most common pathogen of spinal infection is Staphylococcus aureus, followed by Streptococcus and Enterococcus ( 3). It is usually caused by bacterial microorganisms and requires a high level of diagnosis and treatment, in most cases requiring a multidisciplinary approach by spinal surgeons, radiologists, and infectious disease specialists ( 2). Spinal infection is a disease that affects the intervertebral disks or adjacent paravertebral tissue in the vertebral body ( 1). This helps to identify the cause as early as possible, treat it effectively early, relieve symptoms, prevent complications, and keep the spine stable. When the clinical diagnosis of etiology is not clear or there are symptoms such as abscess compression, early surgical specimens can be collected for culture and mNGS to identify the pathogen, and postoperative sensitive antibiotics can be used to continue treatment. pneumoniae infection are not typical and the imaging examination lacks specificity. Postoperative antibiotic treatment was adjusted according to the etiology and drug sensitivity.Ĭonclusion: This case suggests that the clinical symptoms of K. For the patient who failed conservative treatment and had abscess compression, we performed anterior cervical surgery to remove the lesion at an early stage and collected intraoperative specimens for culture and mNGS. The patient was diagnosed with cervical suppurative infection before surgery. The patient's imaging suggested cervical infectious lesions, and the patient had no symptoms of tuberculosis poisoning, and the blood samples associated with tuberculosis were negative. The patient had symptoms of abscess compression before surgery, and inflammatory indicators such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and procalcitonin (PCT) were significantly elevated. Nowadays, metagenomic next-generation sequencing (mNGS) has led to the accurate and timely diagnoses of numerous infectious diseases.Ĭase Presentation: We described a case of a 64-year-old woman, with a chief complaint of neck, shoulder, and upper limb pain for 10 days. There are few reports of spinal infections caused by Klebsiella pneumoniae. Introduction: Spinal infection is a disease that affects the intervertebral disks or adjacent paravertebral tissue in the vertebral body. 3Department of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.2National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.1Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, China.Tao Li 1,2 Qile Gao 1,2 Chaofeng Guo 1,2 * Yanbing Li 2,3 *

Infection of the cervical spine x ray