Osteomyelitis and epidural abscess caused by Arachnia propionica

Abstract

✓ A case of clival osteomyelitis and epidural abscess caused by Arachnia propionica is described. Primary clinical features included a 5-year illness, cervical fistulas, and episodes of meningitis that responded to penicillin. Treatment included peroral, transclival abscess removal, and prolonged antibiotic therapy. Bacteriologic features of the organism are reviewed.