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Background    Escherichia coli (E. coli)  is rarely implicated in bone or joint infections in children.    Case presentation  We discuss the case of a healthy 12-year-old girl with an  E. coli  bacteraemia and a T11-T12 spondylodiscitis revealed by magnetic resonance imaging. The strain harboured serogroup O1:K1 and virulence factors common to highly virulent extra intestinal pathogenic  E. coli  (ExPEC). Immunological work-up was normal.    Conclusion  The identification of  E. coli  in a spondylodiscitis should lead to the search for immunosuppression of the host and virulence factors of the strain, particularly those of ExPEC.

Spondylodiscitis in a healthy 12-year-old girl with Extraintestinal pathogenic Escherichia coli (ExPEC) bacteraemia