A 59-year-old man presented to our hospital with a one-week history of fever and progressive lumbar and gluteal pain. He was a farmer and had a previous medical history of lumbar disc hernia. He mentioned that he lifted heavy loads. During the physical examination, his gluteal and lumbar joint movements were extremely restricted; thus, he was unable to actively move and walk due to severe pain. Laboratory findings were as follows: white blood cells, 25.6 K/uL (n=4.5-11); neutrophils, 18.8 K/uL

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... n=1.8-7.3); alanine aminotransferase, 139 U/L (n=0-55); aspartate aminotransferase, 113 U/L (n=5-34); C-reactive protein, 173.9 mg/L (n=0-5); erythrocyte sedimentation rate, 101 mm/h (n=0-15). He was admitted to the inpatient clinic with a presumptive diagnosis of lumbar spondylodiscitis. After obtaining blood cultures, the intravenous administration of 4×1.5-g ampicillin-sulbactam was initiated. The Rose Bengal, Wright tube agglutination, and tuberculin skin tests were negative.