%0 Journal Article %T 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. %A Urso R %A Del Prete S %A D'Antonio G %A Sorace L %A Albore M %A Bolino G %J Med Leg J %V 0 %N 0 %D 2024 Apr 15 %M 38619146 暂无%R 10.1177/00258172241227658 %X 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.