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Vertebral osteomyelitis

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https://www.readbyqxmd.com/read/29626020/bone-and-joint-infection
#1
Julia Colston, Bridget Atkins
Bone and joint infections include septic arthritis, prosthetic joint infections, osteomyelitis, spinal infections (discitis, vertebral osteomyelitis and epidural abscess) and diabetic foot osteomyelitis. All of these may present through the acute medical take. This article discusses the pathogenesis of infection and highlights the importance of taking a careful history and fully examining the patient. It also emphasises the importance of early surgical intervention in many cases. Consideration of alternative diagnoses, appropriate imaging and high-quality microbiological sampling is important to allow appropriate and targeted antimicrobial therapy...
March 2018: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29619327/-brucella-vertebral-osteomyelitis-misidentified-as-an-ochrobactrum-anthropi-infection
#2
João Trêpa, Patricia Mendes, Raquel Gonçalves, Catarina Chaves, Ana Maria Brás, Andrea Mesa, Isabel Ramos, Rosa Sá, José Gabriel Saraiva da Cunha
Ochrobactrum anthropi is a Gram-negative bacillus widely distributed in nature. It is a low virulence and low pathogenic microorganism and human infection by this agent is considered rare. This microorganism can cause bacteremia and in some cases can lead to osteomyelitis and endocarditis. Included in Brucellaceae family, this bacterium is phenotypically and genetically closely related to the Brucella genus and may be misidentified by rapid identification systems. The authors describe a patient admitted to the Infectious Diseases Department with vertebral osteomyelitis initially identified as Ochrobactrum anthropi ...
2018: IDCases
https://www.readbyqxmd.com/read/29619319/first-reported-case-of-vertebral-osteomyelitis-due-to-erysipelothrix-rhusiopathiae
#3
Matthew L Lorenz, Tara C Bouton, Angela M Caliendo
We describe a case of acute vertebral osteomyelitis with associated prevertebral abscess due to Erysipelothrix rhusiopathiae in an immunocompetent adult with recent known traumatic inoculation from the barb of a fish.
2018: IDCases
https://www.readbyqxmd.com/read/29618171/percutaneous-vertebroplasty-for-osteoporotic-vertebral-compression-fracture
#4
REVIEW
Rachelle Buchbinder, Renea V Johnston, Kobi J Rischin, Joanne Homik, C Allyson Jones, Kamran Golmohammadi, David F Kallmes
BACKGROUND: Percutaneous vertebroplasty remains widely used to treat osteoporotic vertebral fractures although our 2015 Cochrane review did not support its role in routine practice. OBJECTIVES: To update the available evidence of the benefits and harms of vertebroplasty for treatment of osteoporotic vertebral fractures. SEARCH METHODS: We updated the search of CENTRAL, MEDLINE and Embase and trial registries to 15 November 2017. SELECTION CRITERIA: We included randomised and quasi-randomised controlled trials (RCTs) of adults with painful osteoporotic vertebral fractures, comparing vertebroplasty with placebo (sham), usual care, or another intervention...
April 5, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29594240/skull-base-or-cervical-vertebral-osteomyelitis-following-chemoradiotherapy-for-pharyngeal-carcinoma-a-serious-but-treatable-complication
#5
Nafisha Lalani, Shao Hui Huang, Coleman Rotstein, Eugene Yu, Jonathan Irish, Brian O'Sullivan
Osteomyelitis, infection of the bone and marrow, following high dose (chemo-)radiotherapy for head and neck cancer is uncommon and rarely seen in the cervical spine or temporal bone. Due to its proximity to critical structures, osteomyelitis in the latter regions could carry potentially important consequences. Furthermore, involvement near the skull base (e.g. temporal bone and high cervical vertebrae) presents unique challenges in diagnosis (especially in the differentiation from disease recurrence) and treatment, making early detection and timely intervention critical...
January 2018: Clinical and Translational Radiation Oncology
https://www.readbyqxmd.com/read/29573841/lack-of-effect-of-antibiotics-on-biopsy-culture-results-in-vertebral-osteomyelitis
#6
Louis D Saravolatz, Vladimir Labalo, Joel Fishbain, Susan Szpunar, Leonard B Johnson
We report a retrospective study of 173 patients with vertebral osteomyelitis evaluating the effect of antibiotics administered prior to percutaneous and open biopsy cultures. Antibiotics given prior to these biopsies did not have a significant effect on the yield of cultures.
February 26, 2018: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/29569640/comment-on-delayed-intestinal-perforation-and-vertebral-osteomyelitis-after-high-intensity-focused-ultrasound-treatment-for-uterine-leiomyoma
#7
COMMENT
Jennifer K Y Ko, Vincent Y T Cheung
No abstract text is available yet for this article.
March 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29564362/epidemiology-microbiological-diagnosis-and-clinical-outcomes-in-pyogenic-vertebral-osteomyelitis-a-10-year-retrospective-cohort-study
#8
Brian S W Chong, Christopher J Brereton, Alexander Gordon, Joshua S Davis
Background: Pyogenic vertebral osteomyelitis (PVO) is rising in incidence, but optimal methods of investigation and duration of antibiotic therapy remain controversial. Methods: We conducted a single-center retrospective cohort study of PVO at an Australian teaching hospital. We included all adults with a first episode of PVO between 2006 and 2015. PVO was defined based on the presence of prespecified clinical and radiological criteria. The main exposures of interest were investigation strategy and antibiotic treatment...
March 2018: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/29561507/an-11-year-old-male-with-vertebral-osteomyelitis-and-a-paraspinal-abscess
#9
Ioannis Kopsidas, Rodanthi Margariti, Maria Gavra, Angeliki Syngelou, Christos Zambakidis, Maria Tsolia, Nikolaos Nikolaidis, Nikos Spyridis
We report the case of an 11 year-old immunocompetent patient presenting with a two-week history of upper back pain, diagnosed with thoracic vertebral osteomyelitis and a paraspinal abscess due to Bartonella henselae. He was treated with gentamicin and doxycycline followed by oral rifampicin and doxycycline with favorable outcome.
March 15, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29454377/chronic-recurrent-multifocal-osteomyelitis-a-case-report
#10
Maria Francesca Gicchino, Mario Diplomatico, Carmela Granato, Daniela Capalbo, Pierluigi Marzuillo, Alma Nunzia Olivieri, Emanuele Miraglia Del Giudice
BACKGROUND: Chronic recurrent multifocal osteomyelitis (CRMO), also known as chronic nonbacterial osteomyelitis, is a rare, noninfectious inflammatory disorder that causes multifocal bone lesions with swelling and pain. Lytic and sclerotic bone lesions could be found on X-ray. Short tau inversion recovery magnetic resonance imaging (STIR MRI) shows bone marrow oedema, bone expansion, lytic areas and periosteal reaction. CRMO is characterized by periodic exacerbations and remissions of unclear/unknown pathogenesis...
February 17, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29396671/endocarditis-associated-with-vertebral-osteomyelitis-and-septic-arthritis-of-the-axial-skeleton
#11
Oscar Murillo, Imma Grau, Joan Gomez-Junyent, Celina Cabrera, Alba Ribera, Fe Tubau, Carmen Peña, Javier Ariza, Roman Pallares
PURPOSE: The relationship between infective endocarditis (IE) and osteoarticular infections (OAIs) are not well known. We aimed to study the characteristics of patients with IE and OAIs, and the interactions between these two infections. METHODS: An observational study (1993-2014) which includes two cohorts: (1) patients with IE (n = 607) and (2) patients with bacteremic OAIs (n = 458; septic arthritis of peripheral and axial skeleton, and vertebral and peripheral osteomyelitis)...
February 2, 2018: Infection
https://www.readbyqxmd.com/read/29395691/pott-s-disease-in-a-patient-with-subtle-red-flags
#12
Lauren M Cantwell, John C Perkins, David C V Keyes
BACKGROUND: Tuberculosis (TB) is now rare in developed countries; however, it is an important diagnosis for the Emergency Physician to be able to make. Classically thought of as a respiratory disease, TB can present in other ways, making it more challenging to recognize. CASE REPORT: We report the case of a 41-year-old woman who presented to the Emergency Department with a 4-week history of back pain. A diagnosis of T12 osteomyelitis and right psoas muscle abscess was made after magnetic resonance imaging...
January 26, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29393738/lumbar-hemilaminectomy-for-treatment-of-diskospondylitis-in-an-aardvark-orycteropus-afer
#13
Benjamin N Nevitt, Michael J Adkesson, Gwen Jankowski, Paula West, Jennifer N Langan
CASE DESCRIPTION A 17-year-old sexually intact male aardvark (Orycteropus afer) was evaluated because of hind limb proprioception deficits and ataxia. CLINICAL FINDINGS Results of examination and CT suggested a diagnosis of intervertebral disk disease and diskospondylitis at the L2-3 intervertebral space. Magnetic resonance imaging of the vertebral column also indicated intervertebral disk rupture with spinal cord compression and inflammation of the adjacent epaxial musculature TREATMENT AND OUTCOME Hemilaminectomy was performed according to the technique described for dogs...
February 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29382027/candida-vertebral-osteomyelitis-cvo-28-cases-from-a-10-year-retrospective-study-in-france-erratum
#14
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29377845/osteomyelitis-arising-around-osseointegrated-dental-implants-a-systematic-review
#15
Sergio V Kellesarian, Fawad Javed, Georgios E Romanos
OBJECTIVE: The past few years have seen a progressive increment in the number of osteomyelitis cases associated with dental implants, raising the interest of a possible role of implant therapy in the development of osteomyelitis. The aim of the present study was to systematically review the association between dental implant therapy and occurrence of osteomyelitis. DATA SOURCES: The focused question addressed was "What is the risk to develop osteomyelitis among patients receiving dental implants?" Indexed databases were searched without language restrictions up to January 2017 using various key words including: "osteomyelitis"; "dental implants"; "osseointegration"; and "risk factors...
January 17, 2018: Implant Dentistry
https://www.readbyqxmd.com/read/29359842/carbapenem-resistant-klebsiella-pneumoniae-vertebral-osteomyelitis-in-a-renal-transplant-recipient-treated-with-ceftazidime-avibactam
#16
Eris Cani, Farzad Moussavi, Eric Ocheretyaner, Roopali Sharma, Clinton Brown, Brandon Eilertson
Ceftazidime-avibactam (CAZ-AVI) is a novel cephalosporin beta lactamase inhibitor combination that has shown activity against carbapenem-resistant Enterobactericeae. Data are limited on its utilization in the treatment of carbapenem-resistant Klebsiella pneumoniae osteomyelitis in solid organ transplant patients. We describe a case report on the use of CAZ-AVI in the treatment of vertebral osteomyelitis in a renal transplant recipient.
April 2018: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/29354758/gibbus-deformity-after-non-tuberculosis-osteomyelitis
#17
Akop Seksenyan, Darian R Esfahani, Kimberly Hu, Ankit I Mehta
Gibbus deformities are characterized by anterior collapse of one or more vertebral bodies resulting in kyphosis. These deformities usually arise from spinal infections, and are traditionally associated with tuberculosis; other pathogens are rarely reported in the literature. In this case report, the authors describe a patient with a sharp, angulated Gibbus deformity presenting with back pain and myelopathy. The patient was placed on antibiotics, underwent T11-T12 corpectomy, placement of an expandable cage, and T8-L3 fusion with improvement of symptoms...
December 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29321407/vertebral-osteomyelitis-caused-by-helicobacter-cinaedi-identified-using-broad-range-polymerase-chain-reaction-with-sequencing-of-the-biopsied-specimen
#18
Ryota Hase, Takuya Hirooka, Takashi Itabashi, Yasunobu Endo, Yoshihito Otsuka
A 65-year-old man presented with gradually exacerbating low back pain. Magnetic resonance imaging revealed vertebral osteomyelitis in the Th11-L2 vertebral bodies and discs. The patient showed negative findings on conventional cultures. Direct broad-range polymerase chain reaction (PCR) with sequencing of the biopsied specimen had the highest similarity to the 16S rRNA gene of Helicobacter cinaedi. This case suggests that direct broad-range PCR with sequencing should be considered when conventional cultures cannot identify the causative organism of vertebral osteomyelitis, and that this method may be particularly useful when the pathogen is a fastidious organism, such as H...
January 11, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29276230/disseminated-nontuberculous-mycobacterial-infection-in-a-patient-with-anti-ifn-%C3%AE-autoantibodies
#19
Masakuni Tanimizu, Kenji Mizuno, Masayuki Hashimoto
We treated a 72-year-old Japanese female with sustained high fever and overall body exhaustion. An infectious liver cyst and right lung pneumonia were suspected causes. Hepatic cystectomy and various antibiotics did not resolve symptoms. Pneumonia exacerbation and ascitic fluid retention, left lumbar spinal osteomyelitis, and peri-gastric lymph node abscess penetrating the stomach were observed. Mycobacterium avium was identified in sputum, ascites, vertebral body abscess puncture specimen, and pus mucus secretion in the stomach...
December 2017: Acta Medica Okayama
https://www.readbyqxmd.com/read/29261635/cerebral-abscesses-and-osteomyelitis-caused-by-fish-bone-impaction-on-fdg-pet-ct-imaging
#20
Gui-Xiong Zhang, Ting Jiang, Yong-Jiang Mao, Min Yang, Jie-Hua Xu
A 50-year-old woman complained postprandial vomiting for 5 days and drowsiness for 3 days. Possible central nervous pathology was suspected clinically. Brain MRI suggested likely brain metastases. For this reason, FDG PET/CT was performed to search the primary malignancy. The images showed abnormal activity not only in the brain, but also in the retropharyngeal region and in the thoracic vertebral body. The lesions were eventually confirmed as infection caused by fish bone impaction that occurred 1 month earlier...
March 2018: Clinical Nuclear Medicine
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