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Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties
Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a combination of clinical, radiological, and laboratory findings. Magnetic resonance tomography...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263306/ https://www.ncbi.nlm.nih.gov/pubmed/30505016 http://dx.doi.org/10.5114/reum.2018.79505 |
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author | Kalinova, Desislava Rashkov, Rasho |
author_facet | Kalinova, Desislava Rashkov, Rasho |
author_sort | Kalinova, Desislava |
collection | PubMed |
description | Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a combination of clinical, radiological, and laboratory findings. Magnetic resonance tomography (MRI) has high sensitivity and specificity in diagnosis and differentiation of the type of spondylodiscitis and may reveal signs of spondylodiscitis even in very early stages. Infectious spondylodiscitis responds to antimicrobial therapy well if diagnosed early before development of neurological deficit and requirement of surgical intervention. We present a clinical case of spondylodiscitis developing in a young immunocompetent man without any predisposing factors. |
format | Online Article Text |
id | pubmed-6263306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie |
record_format | MEDLINE/PubMed |
spelling | pubmed-62633062018-11-30 Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties Kalinova, Desislava Rashkov, Rasho Reumatologia Case Report Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a combination of clinical, radiological, and laboratory findings. Magnetic resonance tomography (MRI) has high sensitivity and specificity in diagnosis and differentiation of the type of spondylodiscitis and may reveal signs of spondylodiscitis even in very early stages. Infectious spondylodiscitis responds to antimicrobial therapy well if diagnosed early before development of neurological deficit and requirement of surgical intervention. We present a clinical case of spondylodiscitis developing in a young immunocompetent man without any predisposing factors. Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie 2018-10-31 2018 /pmc/articles/PMC6263306/ /pubmed/30505016 http://dx.doi.org/10.5114/reum.2018.79505 Text en Copyright: © 2018 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Case Report Kalinova, Desislava Rashkov, Rasho Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title | Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title_full | Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title_fullStr | Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title_full_unstemmed | Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title_short | Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
title_sort | spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263306/ https://www.ncbi.nlm.nih.gov/pubmed/30505016 http://dx.doi.org/10.5114/reum.2018.79505 |
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