{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:46:30Z","timestamp":1788903990679,"version":"build-2803163510"},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground:<\/jats:title>\nVertebral osteomyelitis caused by Stenotrophomonas maltophilia<\/jats:italic> is very rare. There are only two cases reported in literature. Here, we present a 48-year-old immunocompetent male who, following a lumbar microdiscectomy, developed postoperative spondylodiscitis due to S. maltophilia<\/jats:italic> that mimicked a cotton granuloma.<\/jats:p>\n<\/jats:sec>\n\nCase Report:<\/jats:title>\nTwo months ago, a 48-year-old male underwent a lumbar L4-L5 microdiscectomy, he newly presented with the left thigh and leg pain of 4 weeks duration. Laboratory studies revealed a CRP of 26 mg\/l, an ESR of 6 mm (1st<\/jats:sup> h), and total leukocyte count of 7.85 thousand\/ul. The MRI T2 images showed a focal hyperintense lesion in the left lateral recesses at the L4-L5 level; the accompanying hypointense-smooth margin resembled a cotton granuloma. At surgery, we found a localized epidural collection of pus; S. maltophilia<\/jats:italic> was isolated from the culture. His symptoms gradually improved, and symptoms fully resolved with 3 months of subsequent antibiotic therapy.<\/jats:p>\n<\/jats:sec>\n\nConclusion:<\/jats:title>\nS. maltophilia<\/jats:italic> causing vertebral osteomyelitis is extremely rare and can sometimes mimic a cotton granuloma. MR diagnosis, surgical decompression, and obtaining cultures are requisite to direct appropriate antibiotic therapy.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_23_2020","type":"journal-article","created":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:42Z","timestamp":1582588842000},"page":"28","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Stenotrophomonas maltophilia<\/i> spondylodiscitis following lumbar microdiscectomy mimicking a cotton granuloma: A case report and literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Nitin Maruti","family":"Adsul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishnu","family":"Panigrahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Kalra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. S.","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"10.25259\/SNI_23_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1007\/s00586-006-0251-4","article-title":"Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation","volume":"16","author":"Chen","year":"2007","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_23_2020\/ref-2","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1128\/CMR.11.1.57","article-title":"Microbiological and clinical aspects of infection associated with Stenotrophomonas maltophilia","volume":"11","author":"Denton","year":"1998","journal-title":"Clin Microbiol Rev"},{"key":"10.25259\/SNI_23_2020\/ref-3","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1053\/jinf.2002.0978","article-title":"Bacteraemia due to Stenotrophomonas maltophilia An analysis of 45 episodes","volume":"45","author":"Friedman","year":"2002","journal-title":"J Infect"},{"key":"10.25259\/SNI_23_2020\/ref-4","first-page":"26","article-title":"Biopsy for suspected spondylodiscitis","volume":"16","author":"Gasbarrini","year":"2012","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"10.25259\/SNI_23_2020\/ref-5","doi-asserted-by":"crossref","first-page":"158","DOI":"10.3171\/2010.3.SPINE09403","article-title":"Surgical site infection in spinal surgery: Detection and management based on serial C-reactive protein measurements","volume":"13","author":"Kang","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_23_2020\/ref-6","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00586-006-0136-6","article-title":"Textiloma: A case of foreign body mimicking a spinal mass","volume":"15","author":"Okten","year":"2006","journal-title":"Eur Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/stenotrophomonas-maltophilia-spondylodiscitis-following-lumbar-microdiscectomy-mimicking-a-cotton-granuloma-a-case-report-and-literature-review\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/stenotrophomonas-maltophilia-spondylodiscitis-following-lumbar-microdiscectomy-mimicking-a-cotton-granuloma-a-case-report-and-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:45Z","timestamp":1582588845000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/stenotrophomonas-maltophilia-spondylodiscitis-following-lumbar-microdiscectomy-mimicking-a-cotton-granuloma-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,25]]},"references-count":6,"alternative-id":["10.25259\/SNI_23_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_23_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,25]]},"article-number":"28"}}