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https://www.readbyqxmd.com/read/29326768/streptococcus-constellatus-spondylodiscitis-in-a-teenager-a-case-report
#1
S W Lim, H Y Lim, T Kannaiah, Z Zuki
Streptococcus constellatus is an extremely rare cause of pyogenic spondylodiscitis. Literature search yielded only one case report in an elderly 72 years old man with spontaneous T10-T11 S. constellatus spondylodiscitis. It is virtually unheard of in young teenage. We report the case of a 14 years old male teenager who presented with worsening low back pain for one year with no neurological deficit. Imaging studies were consistent with features of L4-L5 spondylodiscitis. CT guided biopsy grew a pure culture of streptococcus constellatus sensitive to penicillin and erythromycin...
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29321098/spondylodiscitis-diagnosis-and-treatment-options
#2
Christian Herren, Norma Jung, Miguel Pishnamaz, Marianne Breuninger, Jan Siewe, Rolf Sobottke
BACKGROUND: A recent population-based study from Denmark showed that the incidence of spondylodiscitis rose from 2.2 to 5.8 per 100 000 persons per year over the period 1995-2008; the age-standardized incidence in Germany has been estimated at 30 per 250 000 per year on the basis of data from the Federal Statistical Office (2015). The early diagnosis and treatment of this condition are essential to give the patient the best chance of a good outcome, but these are often delayed because it tends to present with nonspecific manifestations, and fever is often absent...
December 25, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29318965/current-status-of-molecular-imaging-in-infections
#3
Martina Sollini, Chiara Lauri, Roberto Boni, Elena Lazzeri, Paola Anna Erba, Alberto Signore
There is an increased need to find non-invasive tools for early diagnosis and follow-up of infections. Nuclear medicine techniques may be used to diagnose, localize and evaluate the severity and the extent of infections before the occurrence of anatomical abnormalities. This review focuses on different approaches based on radiolabelled cells, peptides and antibodies or [18F]FDG to image infective diseases in agreement with what is being jointly evaluated by the European Association of Nuclear Medicine (EANM)...
January 9, 2018: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/29290233/antibiotic-therapy-of-bone-and-joint-infections-in-children-proposals-of-the-french-pediatric-infectious-disease-group
#4
M Lorrot, Y Gillet, C Gras Le Guen, E Launay, R Cohen, E Grimprel
Acute hematogenous bone and joint infections (osteomyelitis, septic arthritis, osteoarthritis, and spondylodiscitis) affect more frequently children younger than 5 years of age. Early diagnosis and prompt treatment are needed to limit the risk of complications. Children with suspected bone and joint infections (BJI) should be hospitalized at the beginning of treatment. Surgical drainage is indicated in patients with septic arthritis and in those with periosteal abscess. Staphylococcus aureus is involved in BJIs in children at all ages; Kingella kingae is a very common causative pathogen in children under 4 years of age...
December 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29241272/oral-cavity-infection-an-underestimated-source-of-pyogenic-spondylodiscitis
#5
Alexander Romagna, Matthias Troeltzsch, Christof Birkenmaier, Christoph Schwartz, Bogdana Suchorska, Stefan Zausinger
No abstract text is available yet for this article.
December 14, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29234660/monosegmental-combined-anterior-posterior-instrumentation-for-the-treatment-of-a-severe-lumbar-tuberculous-spondylodiscitis-case-report-and-literature-review
#6
Petracchi Matias, Camino Willhuber Gaston, Tripodi Maria, Bassani Julio, Gruenberg Marcelo, Sola Carlos
Spinal tuberculosis (Pott disease) can produce severe deformities when it is not properly treated. Long instrumentations through single or combined double approaches are usually required to prevent and correct the deformity. The authors present a case of severe deformity secondary to tuberculous spondylodiscitis in the lumbar spine treated with a monosegmental instrumentation through a double approach in a patient with idiopathic scoliosis. Deformity correction and infection resolution through debridement and arthrodesis is observed after one year of follow-up...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29229210/prevalence-and-characteristics-of-chronic-pain-experience-of-niger
#7
Hamid Assadeck, Moussa Toudou Daouda, Fatimata Hassane Djibo, Djibo Douma Maiga, Eric Adehossi Omar
INTRODUCTION: Chronic pain is a major health problem, considered as a disease in its own right. The prevalence of chronic pain is estimated to be between 2% and 40% in adult populations. In Niger, there are no data on chronic pain. AIMS: This study was designed to provide the demographic, clinical and etiological profile of chronic pain in patients from Niger in order to create a database on chronic pain in Niger. PATIENTS AND METHODS: Our study is prospectively conducted at the department of external consultation of the Hôpital National de Niamey over a period of 10 months from 31 May 2016 to 30 January 2017 collecting all cases of chronic pain...
October 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29218392/unusual-circumstances-to-diagnose-cervical-pott-s-disease
#8
Mohamed Ali Kedous, Ahmed Msakni, Wael Chebbi, Mourad Zaraa, Mohsen Trabelsi
Tuberculous spondylodiscitis usually affects the dorso-lumbar spine, and its cervical location is a rare condition that can mimic other diseases and consequently cause treatment delays. We report a case of tuberculous spondylodiscitis of the lower cervical spine discovered under unusual circumstances in a patient with severe polytrauma involving a cranio-cerebral trauma, a non-displaced fracture of the two laminæ and the spinous process of the C6 vertebrae as well as fibular and tibial shaft fractures. The patient underwent static tibial nailing, and a collar with occipital and chin supports was applied...
December 7, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29218230/spondylodiscitis-revisited
#9
Andreas F Mavrogenis, Panayiotis D Megaloikonomos, Vasileios G Igoumenou, Georgios N Panagopoulos, Efthymia Giannitsioti, Antonios Papadopoulos, Panayiotis J Papagelopoulos
Spondylodiscitis may involve the vertebral bodies, intervertebral discs, paravertebral structures and spinal canal, with potentially high morbidity and mortality rates.A rise in the susceptible population and improved diagnosis have increased the reported incidence of the disease in recent years.Blood cultures, appropriate imaging and biopsy are essential for diagnosis and treatment.Most patients are successfully treated by conservative means; however, some patients may require surgical treatment.Surgical indications include doubtful diagnosis, progressive neurological deficits, progressive spinal deformity, failure to respond to treatment, and unresolved pain...
November 2017: EFORT Open Reviews
https://www.readbyqxmd.com/read/29206837/pyogenic-vertebral-osteomyelitis-of-the-elderly-characteristics-and-outcomes
#10
Johan Courjon, Adrien Lemaignen, Idir Ghout, Audrey Therby, Nadia Belmatoug, Aurélien Dinh, Guillaume Gras, Louis Bernard
BACKGROUND: The incidence of pyogenic vertebral osteomyelitis (PVO) has increased over the past two decades. One possible cause of this increase is the aging of the population, which results in more comorbidities in high income countries. OBJECTIVE: To better characterize the clinical presentation and outcome of PVO in the elderly. DESIGN: We conducted a post-hoc analysis of a previously published trial that studied treatment duration in PVO and compared the presentation and outcomes according to age...
2017: PloS One
https://www.readbyqxmd.com/read/29204028/spontaneous-spinal-discitis-and-spondylodiscitis-clinicotherapeutic-remarks
#11
Alessandro Landi, Giovanni Grasso, Giancarlo Iaiani, Fabrizio Gregori, Cristina Mancarella, Alessandro di Bartolomeo, Maurizio Domenicucci, Roberto Delfini
No abstract text is available yet for this article.
October 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29185288/imaging-in-axial-spondyloarthritis
#12
REVIEW
Xenofon Baraliakos
Axial spondyloarthritis (axSpA) covers the stage of non-radiographic axial spondyloarthritis (nr-axSpA) and classic ankylosing spondylitis. The pathognomonic findings of axSpA are mainly inflammatory and osteoproliferative changes in the sacroiliac joints (SIJ) and the spine. Various imaging techniques are being used in daily practice for assessment of disease-specific changes, such as periarticular bone marrow edema, erosions, sclerosis, fat metaplasia and ankylosis in the SIJ or spondylitis, spondylodiscitis, facet joint involvement, or syndesmophytes in the spine of patients with axSpA...
November 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29181354/central-chest-pain-an-atypical-first-presentation
#13
Rahul Pankhania, Ashish Narang, Rohi Shah, Shyamsundar Srinivasan
Introduction: The diagnosis of thoracic spondylodiscitis is challenging, given that it is a rare entity in itself and when unusual symptoms such as central chest pain predominate on presentation, it may pose a serious diagnostic challenge. Case Report: A 54-year-old patient presented to accident and emergency with central chest pain and elevated inflammatory markers (C- reactive protein [CRP]: 21 mg/L). Following exclusion of life-threatening cardiac causes, he was discharged home with analgesia and no formal diagnosis...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29171375/-spondylodiscitis-as-a-rare-manifestation-of-gout
#14
G F Snijders, L G Schipper, M G Masteling-Slaats, S I van Leuven
BACKGROUND: Spondylodiscitis is usually caused by microorganisms, but there are also non-infectious causes. CASE DESCRIPTION: We are describing an 84-year-old man with severe pain in the side and elevated inflammation parameters. MRI of the spinal column yielded a picture suggesting spondylodiscitis. Repeated peripheral cultures and culture of a vertebral biopsy did not yield a pathogen. Intravenous antibiotics had no effect on symptoms or inflammation parameters...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29163994/lumbar-spondylodiscitis-caused-by-burkholderia-cepacia-in-a-previously-healthy-patient
#15
Danielle Jaafar, Maroun Rizkallah, Firas Atallah, Falah Bachour, Angelique Barakat, Ghassan Maalouf, Matta Matta
Burkholderia cepacia spondylodiscitis is a rare entity that has been reported in only four cases. We hereby report the case of a 43-year-old, previously healthy, woman who was found to have a B. cepacia spondylodiscitis after a cholecystectomy. She was treated with a three-month regimen of ceftazidime and ciprofloxacin with complete clinical, biological, and radiological remission.
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29114175/head-to-head-comparison-of-68ga-citrate-and-18f-fdg-pet-ct-for-detection-of-infectious-foci-in-patients-with-staphylococcus-aureus-bacteraemia
#16
Soile P Salomäki, Jukka Kemppainen, Ulla Hohenthal, Pauliina Luoto, Olli Eskola, Pirjo Nuutila, Marko Seppänen, Laura Pirilä, Jarmo Oksi, Anne Roivainen
Purpose: This study evaluated the potential of 68Ga-citrate positron emission tomography/computed tomography (PET/CT) for the detection of infectious foci in patients with Staphylococcus aureus bacteraemia by comparing it with 2-[18F]fluoro-2-deoxy-D-glucose (18F-FDG) PET/CT. Methods: Four patients admitted to hospital due to S. aureus bacteraemia underwent both 18F-FDG and 68Ga-citrate whole-body PET/CT scans to detect infectious foci. Results: The time from hospital admission and the initiation of antibiotic treatment to the first PET/CT was 4-10 days...
2017: Contrast Media & Molecular Imaging
https://www.readbyqxmd.com/read/29109881/hypothermia-with-extreme-bradycardia-following-spinal-cord-infarction-of-septic-origin
#17
Philippe Hantson, Thierry Duprez
Among other autonomic dysfunctions complicating acute spinal cord injury, deep hypothermia is rare but may induce serious cardiovascular complications. There are few pharmacological options to influence hypothermia. A 66-year-old woman was transferred to the intensive care unit (ICU) for serious cardiac arrhythmias (atrial fibrillation and asystole) in the context of a deep hypothermia (axillary temperature below 32°C). She had been admitted to the hospital two months before for an acute L4-L5 infectious spondylodiscitis without any initial neurological deficit...
2017: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/29097956/thoracic-spondylodiscitis-epidural-abscess-in-an-afebrile-navy-veteran-a-case-report
#18
Zachary A Cupler, Michael T Anderson, Thomas J Stancik
Objective: The purpose of this case study was to describe the differential diagnosis of a thoracic epidural abscess in a Navy veteran who presented to a chiropractic clinic for evaluation and management with acupuncture within a Veterans Affairs Medical Center. Clinical Features: An afebrile 59-year-old man with acute thoracic spine pain and chronic low back pain presented to the chiropractic clinic at a Veterans Affairs Medical Center for consideration for acupuncture treatment...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29089118/primary-infectious-spondylodiscitis-in-51-patients-over-75-years-old-a-comparative-study
#19
Jean-Jacques Dubost, Julien Lopez, Bruno Pereira, Benjamin Castagne, Anne Tournadre, Martin Soubrier, Marion Couderc
BACKGROUND AND OBJETIVE: The incidence of infectious spondylodiscitis has been shown to rise with age; however, they had not been extensively investigated in the very elderly. MATERIAL AND METHODS: This retrospective, monocentric study included patients hospitalized in our department of rheumatology for primary infectious spondylodiscitis between 2000 and 2015, and compared over 75-year-olds with younger patients. RESULTS: Of the 152 patients, 51 (33...
October 28, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/29079258/safety-and-efficacy-of-single-stage-versus-two-stage-spinal-fusion-via-posterior-instrumentation-and-anterior-thoracoscopy-a-retrospective-matched-pair-cohort-study-with-247-consecutive-patients
#20
Lennart Viezens, Phillip Reer, Andre Strahl, Lukas Weiser, Malte Schroeder, Joerg Beyerlein, Christian Schaefer
PURPOSE: Posterior-anterior spondylodesis is often used to stabilise the spine in various pathologies. The anterior procedure is often conducted via thoracoscopy. It remains unclear whether the anterior procedure should be conducted immediately after posterior instrumentation or only after the patient has convalesced. This retrospective study compared one-stage and two-stage posterior-anterior fusion surgery with a thoracoscopic anterior approach in terms of perioperative safety and morbidity...
October 24, 2017: World Neurosurgery
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