Black disc morphology during routine lumbar discectomy with subsequent diagnosis of enterococcal discitis

Background: Enterococcus faecalis is reported infrequently as an infectious cause of discitis. In the literature, diagnosis commonly made based on clinical picture coupled with blood cultures, imaging, and tissue cultures. Case Description: A 62-year-old male chronic lower back pain underwent lumbar decompression for a disc. At surgery, patient had significant black discoloration disc material. Later, cultures demonstrated E. Conclusion: Here example enterococcal discitis found during routine discectomy. As operative revealed , required not one but two operations (i.e., second seroma/ hematoma due to infection) following which antibiotic therapy eradicated infection.