{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T17:57:33Z","timestamp":1790531853172,"version":"4.1.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p><jats:italic>Veillonella<\/jats:italic> species are an opportunistically pathogenic commensal anaerobic Gram-negative coccus commonly found in the oral, genitourinary, respiratory, and intestinal tract of humans and some animals. Infection is rare, even in immunocompromised hosts, and has been identified to cause a wide array of different infections, including endocarditis, osteomyelitis, and meningitis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>An 82-year-old Caucasian male retired ex-gymnast presented to the emergency department with a 2-week history of acute on chronic lower back pain without clear precipitant. He displayed no systemic symptoms, and had not sustained any recent injuries. Initial blood and radiological investigation did not reveal an infective or mechanical cause for his pain; however, a few days into admission, he developed a fever and signs of sepsis. A thorough septic screen was performed, including a spinal magnetic resonance imaging scan, which did not reveal any abnormalities. Blood cultures revealed <jats:italic>Veillonella\u00a0parvula<\/jats:italic> bacteremia, with subsequently repeated magnetic resonance imaging displaying rapid disseminated infection including bilateral psoas abscess, discitis, and osteomyelitis. Infective endocarditis was later identified with echocardiogram. He received intravenous ceftriaxone and later oral amoxicillin and clavulanic and recovered on 6-month follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case illustrates the potential pathogenicity and unexpected rapid course of <jats:italic>Veillonella\u00a0parvula<\/jats:italic> infection even in an immunocompetent host presenting with back pain. This case highlights the critical importance of a thorough septic screen when investigating patients for early signs of sepsis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03386-8","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T23:02:49Z","timestamp":1650409369000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Severe disseminated Veillonella parvula infection including endocarditis, bilateral psoas abscess, discitis, and osteomyelitis but sparing spinal and hip prostheses: a case report"],"prefix":"10.1186","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2865-5239","authenticated-orcid":false,"given":"Tobias","family":"Richards","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Stephen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chok Lin","family":"Lui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"issue":"2","key":"3386_CR1","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1128\/JCM.01633-06","volume":"45","author":"D Marriott","year":"2006","unstructured":"Marriott D, Stark D, Harkness J. Veillonella parvula discitis and secondary bacteremia: a rare infection complicating endoscopy and colonoscopy? J Clin Microbiol [electronic]. 2006;45(2):672\u20134. https:\/\/doi.org\/10.1128\/JCM.01633-06.","journal-title":"J Clin Microbiol."},{"issue":"3","key":"3386_CR2","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1086\/314046","volume":"31","author":"M Bhatti","year":"2000","unstructured":"Bhatti M, Frank M. Veillonella parvula meningitis: case report and review of Veillonella infections. Clin Infect Disease. 2000;31(3):839\u201340. https:\/\/doi.org\/10.1086\/314046.","journal-title":"Clin Infect Disease."},{"issue":"5","key":"3386_CR3","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1016\/j.jmii.2014.05.002","volume":"49","author":"Y Chen","year":"2006","unstructured":"Chen Y, Ko P, Yang C, Chen Y, Lay C, Tsai C, Hsieh M. Epidural abscess caused by Veillonella parvula: case report and review of the literature. 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A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"157"}}