Interní Med. 2012; 14(12): 481-483

Spondylodiscitis, an „orthopedic“ disease frequently diagnosed by internists: a case report

MUDr.Alexandra Šimončičová
Interní oddělení, Nemocnice Znojmo, p.o.

Spondylodiscitis (SD) is an infection of the vertebral column, most often being developed occurring through a hematogenicous pathway

route. Because it is present in older age, frequently in patients with chronic back pain, the diasease is not always considered in the first

place. The A drawback of imaging methods is athe fact, that the results mayight be negative inat the beginning. A minimum of six weeks

of antibiotics treatment is a causal therapy for the disease. In the case of a local progression, a surgical intervention is indicated. In the

article there presents are two case reportscasuistics of SD patients. Both of them were repeatedly hospitalized, the average time to name

the diagnosis was two months. The reason for the diagnostic difficulties struggles was not only chronic back pain in the patient’s history,

but also negative initialintroductory results of imaging studies.

Keywords: spondylodiscitis, MRSA, farmacotherapy

Published: January 1, 2013  Show citation

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Šimončičová A. Spondylodiscitis, an „orthopedic“ disease frequently diagnosed by internists: a case report. Interní Med. 2012;14(12):481-483.
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References

  1. Včelák J, Tóth L. Operační léčba spondylodiscitidy. Acta chirurgiae orthopaedicae et traumatologicae čechoslov., 2008; 75: 110-116.
  2. Cheun WY, Keith DK. Luk, Int Orthop. 2012; 36(2): 397-404. Go to original source... Go to PubMed...
  3. Di Martino A, Papapietro N, Lanotte A, Russo F, Vadal? G, Denaro V. Spondylodiscitis: standards of current treatment. Curr Med Res Opin. 2012; 28(5): 689-99. Epub 2012 Apr 5. Go to original source... Go to PubMed...
  4. Dungl P, a kol. Ortopedie. 2005: s. 642.
  5. Bettini N. Girardo M, Dema E, Cervellati S. Evaluation of conservative treatment of non specific spondylodiscitis. Eur Spine J. 2009; 18(Suppl 1): 143-150. Go to original source... Go to PubMed...
  6. An HS, Seldomridge JA. Spinal infections: diagnostic tests and imaging studies. Clin Orthop Relat Res 2006; 444: 27. Go to original source... Go to PubMed...
  7. Gourliouris T, et al. Spondylodiscitis: update on diagnosis and treatment. J. Antimicrob Chemother 2012, 65(suppl 3): 11-24.
  8. Polák P, Pernicová E. Spondylodiscitida - známá a neznámá. Prakt.lek. 2010; 90(9): 519-524.
  9. Marschall J, Bhavan KP, Olsen MA, Fraser VJ, Wright NM, Warren DK The impact of prebiopsy antibiotics on pathogen recovery in hematogenous vertebral osteomyelitis. Clin Infect Dis. 2011; 52(7): 867. Go to original source... Go to PubMed...
  10. Sobotke R, Seifert H. Current diagnosis and treatment od Spondyloscitis. Deutsches Arzteblatt International, Dtsch Arztebl Int 2008; 105(10): 181-187. Go to original source... Go to PubMed...
  11. Ziegelbein J, El-Khoury GY. Early spondylodiscitis presenting with single vertebral body involvement: a report of two cases. Iowa Orthop J. 2011; 31: 219-224. Go to PubMed...




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