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spondylodiscitis

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https://www.readbyqxmd.com/read/27911458/spondylodiscitis-a-rare-complication-following-percutaneous-nephrostomy
#1
Francesco Chiancone, Maurizio Fedelini, Clemente Meccariello, Luigi Pucci, Marco Fabiano, Paolo Fedelini
Spondylodiscitis is an inflammation of the intervertebral disc and the adjacent vertebral bodies. The spondylodiscitis can not only be a complication of medical interventions such as an operation near spinal column but also urogenital and vascular interventions and intravenous catheter use. A 71-year-old man was admitted to our emergency department with fever and severe abdominal pain. Antibiotic therapy had been performed with intravenous administration of 2 g of ceftriaxone and the patient underwent the placement of a percutaneous nephrostomy according to Seldinger technique...
November 28, 2016: Urologia
https://www.readbyqxmd.com/read/27857931/iatrogenic-vascular-injury-occurring-during-discectomy-in-a-spondylodiscitis-patient
#2
Do Hyun Kim, Tae Wan Kim, Min Ki Kim, Kwan Ho Park
All iatrogenic vascular injury occurring during discectomy is a rare complication, but fatal if not immediately diagnosed. When a vascular injury is highly suspected during discectomy, immediate vascular evaluation is needed even vital signs are stable during and immediately after the operation. We describe a case of iatrogenic abdominal aortic injury that occurred during discectomy in a spondylodiscitis patient, which was treated by endovascular repair.
October 2016: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27846776/infective-spondylodiscitis-in-patients-on-maintenance-hemodialysis-a-case-series
#3
Yueh-An Lu, Hsiang-Hao Hsu, Huang-Kai Kao, Chia-Hui Lee, Shen-Yang Lee, Guan-Hsing Chen, Cheng-Chieh Hung, Ya-Chung Tian
Infective spondylodiscitis is a rare disease. This case review describes the clinical course, risk factors, and outcomes of adult patients on maintenance hemodialysis who presented with infective spondylodiscitis at a single medical center in Taiwan. There were 18 cases (mean age: 64.9 ± 10.8 years) over more than 10 years. Analysis of underlying diseases indicated that 50% of patients had diabetes, 55.6% had hypertension, 55.6% had coronary artery disease, 22.2% had congestive heart failure, 22.2% had a cerebral vascular accident, 16...
November 16, 2016: Renal Failure
https://www.readbyqxmd.com/read/27843769/a-case-of-infective-endocarditis-along-with-a-ruptured-valve-caused-by-streptococcus-agalactiae-in-an-immunocompetent-man
#4
Kiyozumi Suzuki, Yuji Hirai, Fujiko Morita, Yuki Uehara, Hiroko Oshima, Kazunori Mitsuhashi, Atsushi Amano, Toshio Naito
Streptococcus agalactiae (S. agalactiae) is a major cause of invasive disease in neonates and pregnant women, but has also recently been observed among non-pregnant adults, especially elderly persons or persons with underlying chronic disease. S. agalactiae is also a rare cause of infective endocarditis, and most cases require early surgery. We report the case of a 43-year-old previously healthy man who experienced rapid progressive culture-negative infective endocarditis with aortic valve vegetation and severe aortic regurgitation, which was complicated by lumbar spondylodiscitis...
2016: IDCases
https://www.readbyqxmd.com/read/27819134/fungal-spondylodiscitis-in-a-patient-recovered-from-h7n9-virus-infection-a-case-study-and-a-literature-review-of-the-differences-between-candida-and-aspergillus-spondylodiscitis
#5
Lie-Dao Yu, Zhi-Yun Feng, Xuan-Wei Wang, Zhi-Heng Ling, Xiang-Jin Lin
To report a rare case of fungal spondylodiscitis in a patient recovered from H7N9 virus infection and perform a literature review of the different characteristics of Candida and Aspergillus spondylodiscitis, we reviewed cases of spondylodiscitis caused by Candida and Aspergillus species. Data, including patients' information, pathogenic species, treatment strategy, outcomes, and relapses, were collected and summarized. The characteristics of Candida and Aspergillus spondylodiscitis were compared to see if any differences in clinical features, management, or consequences could be detected...
2016: Journal of Zhejiang University. Science. B
https://www.readbyqxmd.com/read/27817136/management-of-destructive-candida-albicans-spondylodiscitis-of-the-cervical-spine-a-systematic-analysis-of-literature-illustrated-by-an-unusual-case
#6
REVIEW
Josef Stolberg-Stolberg, Dagmar Horn, Steffen Roßlenbroich, Oliver Riesenbeck, Stefanie Kampmeier, Michael Mohr, Michael J Raschke, René Hartensuer
PURPOSE: Candida induced spondylodiscitis of the cervical spine in immunocompetent patients is an extremely rare infectious complication. Since clinical symptoms might be nonspecific, therapeutic latency can lead to permanent spinal cord damage, sepsis and fatal complications. Surgical debridement is strongly recommended but there is no standard antimycotic regime for postsurgical treatment. This paper summarizes available data and demonstrates another successfully treated case. METHODS: The systematic analysis was performed according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
November 5, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27813619/extradural-ganglioneuroma-with-t1-t2-involvement-mimicking-spondylodiscitis-a-case-report-and-a-review-of-the-literature
#7
Mehdi Mogharrabi, Ramin Azarhoush, Hamid Javadi, Elahe Pirayesh, Majid Assadi
Ganglioneuroma (GN) is a rare benign neural tumor, usually derived from the ganglia of the sympathetic system. This report describes a 36-year-old man who presented with back pain and local tenderness that closely mimicked the clinical and ima-ging findings of spondylodiskitis. However, histologic examination made the diagnosis of GN. To our knowledge, this is the first report presenting the pattern of a GN as a differential diagnosis of spondylodiskitis.
2016: Nuclear Medicine Review. Central & Eastern Europe
https://www.readbyqxmd.com/read/27799986/infectious-spondylodiscitis-by-uncommon-pathogens-a-pitfall-of-empirical-antibiotics
#8
Seung Han Yu, Dong Hwan Kim, Hwan Soo Kim, Kyoung Hyup Nam, Byung Kwan Choi, In Ho Han
OBJECTIVE: The goal of this study is to evaluate the prevalence of spondylodiscitis (SD) caused by uncommon pathogens and review the efficacy of the treatment strategy including the coverage by usual empirical broad-spectrum antibiotic therapy. METHODS: Ninety-nine consecutive patients diagnosed and treated for infectious SD between January 2007 to May 2015 were reviewed retrospectively. The prevalence of uncommon SD, predisposing factors, antibiotics sensitivity, and clinical outcome were analyzed in comparison with that of common SD...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27790320/surgical-management-in-elderly-patients-with-tuberculous-spondylodiscitis-ten-year-mortality-audit-study
#9
Manish Kundanmal Kothari, Kunal Chandrakant Shah, Agnivesh Tikoo, Abhay Madhusudan Nene
STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the factors affecting immediate postoperative mortality in elderly patients with tuberculous spondylodiscitis. OVERVIEW OF LITERATURE: Treatment of spinal tuberculosis in the elderly involves consideration of age and co-morbidities, and often leads to an extended conservative management. Surgical intervention in these patients becomes a complex decision. There are no studies on risk factors of mortality in surgically treated elderly with tuberculous spondylodiscitis...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27756675/utilization-of-a-technique-of-percutaneous-s2-alar-iliac-fixation-in-immunocompromised-patients-with-spondylodiscitis-two-case-reports
#10
Haruki Funao, Khaled M Kebaish, Norihiro Isogai, Takahiro Koyanagi, Morio Matsumoto, Ken Ishii
BACKGROUND: Spondylodiscitis still remains a serious problem especially in immunocompromised patients. Surgery is necessary when non-surgical treatment is unsuccessful. Although minimally invasive spine stabilization (MISt) with percutaneous pedicle screws is less invasive, percutaneous sacropelvic fixation techniques are not common practice. Here, we describe two cases in which spondylodiscitis in the lumbosacral spine was treated with a percutaneous stabilization using S2 alar-iliac (S2AI) screw technique...
October 15, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27753184/spinal-infections-in-older-people-an-analysis-of-demographics-presenting-features-microbiology-and-outcomes
#11
Sanka Amadoru, Kwang Lim, Mark Tacey, Craig Aboltins
AIMS: To explore differences in presentation and outcomes between younger and older patients with bacterial spinal infections. METHODS: Clinical, microbiological and radiological information was collected for patients at a single metropolitan hospital with spinal infections (spondylodiscitis, vertebral osteomyelitis, septic discitis, facet joint septic arthritis, and spinal epidural abscess) between January 2008 and January 2015. Patients were excluded if under 18 years of age, or if clinical and imaging findings were inconsistent with the diagnosis...
October 18, 2016: Internal Medicine Journal
https://www.readbyqxmd.com/read/27728437/infective-spondylodiscitis-at-l4-l5-secondary-to-brucellosis
#12
C Sandeep Reddy, K S Ashok Kumar, T Sreenivas
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27703423/cervical-spondylodiscitis-after-oxygen-ozone-therapy-for-treatment-of-a-cervical-disc-herniation-a-case-report-and-review-of-the-literature
#13
Pablo Andrés-Cano, Tomás Vela, Claudio Cano, Gaspar García, Juan Carlos Vera, Jose Antonio Andrés-García
No abstract text is available yet for this article.
October 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27697126/-diagnostics-and-treatment-of-spondylodiscitis
#14
Marie Bangstrup, Martin Brummerstedt, Toke S Barfod
Spondylodiscitis, infection of the spine and intervertebral discs, is a rare condition with increasing incidence. Early diagnosis can be challenging due to the non-specific symptoms such as back pain and fever. Diagnosis is verified by MRI. Microbial aetiology is pursued by blood cultures or surgical biopsy, however, some cases remain culture-negative. Long-term antibiotic treatment is standard of care. Some patients receive surgical treatment. One-year mortality is up to 20%. Recently, published data suggest that six weeks of antibiotics equals 12 weeks in culture-positive cases...
September 26, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27686140/prognosis-following-infectious-spondylodiscitis-work-in-progress
#15
Kristian Kragholm, Kirsten Fonager, Michael Dalager-Pedersen
No abstract text is available yet for this article.
August 11, 2016: Infectious Diseases
https://www.readbyqxmd.com/read/27679727/imaging-of-juvenile-idiopathic-arthritis-part-ii-ultrasonography-and-mri
#16
REVIEW
Iwona Sudoł-Szopińska, Elżbieta Grochowska, Piotr Gietka, Mateusz Płaza, Grzegorz Pracoń, Fadhil Saied, Marta Walentowska-Janowicz
Juvenile idiopathic arthritis is the most common autoimmune systemic disease of the connective tissue affecting individuals in the developmental age. Radiography, which was described in the first part of this publication, is the standard modality in the assessment of this condition. Ultrasound and magnetic resonance imaging enable early detection of the disease which affects soft tissues, as well as bones. Ultrasound assessment involves: joint cavities, tendon sheaths and bursae for the presence of synovitis, intraand extraarticular fat tissue to visualize signs of inflammation, hyaline cartilage, cartilaginous epiphysis and subchondral bone to detect cysts and erosions, and ligaments, tendons and their entheses for signs of enthesopathies and tendinopathies...
September 2016: Journal of Ultrasonography
https://www.readbyqxmd.com/read/27671947/febrile-syndrome-of-unknown-origin-indications-for-18-f-fdg-pet-ct-in-inflammatory-and-infectious-processes
#17
J R García
Fever of unknown origin is defined as a body temperature greater than 38.3°C lasting more than three weeks for which the cause could not be found within one week of hospital admission. More than 200 causes have been reported, and these can be classified into four categories: infections, inflammatory diseases, oncologic processes, and miscellaneous conditions. Noninvasive diagnostic techniques are used in 69.2% of cases and invasive techniques in 30.8%. Structural imaging techniques show the morphological changes from infectious, inflammatory, and tumor-related processes, but they do not allow the detection of the early changes brought about by these processes...
September 23, 2016: Radiología
https://www.readbyqxmd.com/read/27649016/-surgical-treated-spondylodiscitis-epidemiological-study
#18
Joaquim Soares do Brito, António Tirado, Pedro Fernandes
INTRODUCTION: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. MATERIAL AND METHODS: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient...
May 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/27636869/reduced-ability-to-work-both-before-and-after-infectious-spondylodiscitis-in-working-age-patients
#19
Michala Kehrer, Jesper Hallas, Jesper Bælum, Thøger Gorm Jensen, Court Pedersen, Annmarie Touborg Lassen
BACKGROUND: As little is known about the ability to work in patients with infectious spondylodiscitis, we compared the relation between the workforce before infection with that of a reference population and described the patients' ability to work after infection including predictors of return to work (RTW). METHODS: We identified all patients aged 20-57 years treated for infectious spondylodiscitis January 1994-May 2009 at hospitals in Funen County, Denmark. The work status of each week from 2 years before until 2 years after index date was compared with that of a reference population...
September 16, 2016: Infectious Diseases
https://www.readbyqxmd.com/read/27628246/-septic-arthritis-and-spondylodiscitis-rare-but-feared-diseases
#20
N Jung, S Vossen
Septic arthritis and spondylodiscitis are relatively rare but severe diseases with increasing incidence. Septic arthritis is an emergency situation with high morbidity (40 %) and fatality rates (11 %). The infection occurs via a hematogenous route by direct inoculation or per continuitatem. Patients with pre-existing destructive joint diseases or under immunosuppressive treatment are particularly at risk. It is mandatory to sample synovial fluid for isolation of the relevant pathogen and quantification of leucocytes before starting antibiotic therapy...
September 15, 2016: Zeitschrift Für Rheumatologie
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