Restricted accessCase reportFirst published online 2025-6
A case of surgical site infection with severe spondylitis caused by Streptococcus gordonii in an adult healthy woman: how to apply medico-legal method to deny malpractice hypothesis in suspected healthcare-associated infection
We describe a rare case of severe primary spondylitis caused by Streptococcus gordonii in a 45-year-old immunocompetent woman with no relevant comorbidities. The surgical site infection arose after a L4–L5 microdiscectomy and resulted in severe clinical disability. Allegations of possible negligence as the cause prompted a forensic review to clarify the original source and transmission of this uncommon pathogen, which dismissed its cause as due to malpractice during treatment.
D’AgostinoCScorzoliniLMassettiAP, et al.
A seven-year prospective study on spondylodiscitis: Epidemiological and microbiological features. Infection2010;
38: 102–107.
4.
HerrenCJungNPishnamazM, et al.
Spondylodiscitis: Diagnosis and treatment options. Dtsch Arztebl Int2017;
114(51–52): 875–882.
5.
CandidoGCasciniFLachmanP, et al.
Effects of the Italian law on patient safety and health professional responsibilities five years after its approval by the Italian parliament. Healthcare (Basel)2023;
11(13): 1858.
6.
UrsoRChinelloPMostiS, et al.
Aspetti medico-legali delle infezioni da germi antibiotico-resistenti alla luce della legge 8 marzo 2017 n. 24. Rivista italiana di medicina legale e del diritto in campo sanitario, Giuffrè2018;
3: 881–900.
