Infective endocarditis associated with spondylodiscitis and frequent secondary epidural abscess
| Autor: | Bachir Younes, Joel Hirschberg, Asma Kazi, Carlos Lopez, Puneet K. Kanna, Ellie J.C. Goldstein, Lawrence A. Cone, Radhika Gade-Andavolu |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Spondylodiscitis Staphylococcus aureus medicine.medical_specialty Discitis Epidural abscess Streptococcus mitis Enterococcus faecalis medicine Humans Endocarditis Abscess Spondylitis Gram-Positive Bacterial Infections Aged Aged 80 and over biology business.industry medicine.disease Streptococcus bovis biology.organism_classification Surgery Epidural Abscess Infective endocarditis Female Neurology (clinical) business |
| Zdroj: | Surgical Neurology. 69:121-125 |
| ISSN: | 0090-3019 |
| Popis: | Background Although many patients with IE complain of joint, muscle, and back pain, infections at these sights are rare. Indeed, in patients with back pain and endocarditis, less than 4% actually demonstrate spondylodiscitis. Case Description We recently encountered 4 patients with this complication, one each caused by Staphylococcus aureus , Streptococcus bovis , Streptococcus mitis , and Enterococcus faecalis , and wondered whether the nature of the infecting organism determined the development of spondylodiscitis and epidural abscess. In a literature review, 36 patients with endocarditis and spondylodiscitis were identified. Only 9 (25%) were caused by Streptococcus viridans and the remainder by staphylococci, enterococci, and other streptococci. Usually more than 50% of all cases of IE were caused by Streptococcus viridans , although more recent studies would indicate an incidence of about 40%. Conclusion We conclude that spondylodiscitis with epidural abscess is more likely to occur in those patients with endocarditis who are infected by organisms with pyogenic potential. |
| Databáze: | OpenAIRE |
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