Anaerobic spondylodiscitis: case series and systematic review
| Autor: | Paul Mariani, Candelaria Martin, Robert Tight, David Thiege, Raymond A. Smego, Musab U. Saeed, Anil Potti |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Spondylodiscitis
Male medicine.medical_specialty Discitis Propionibacterium acnes Lumbar Back pain Medicine Vertebral osteomyelitis Humans Spondylitis Aged Lumbar Vertebrae biology business.industry General Medicine Bacterial Infections biology.organism_classification medicine.disease Surgery Radiography Female Anaerobic bacteria medicine.symptom business |
| Zdroj: | Southern medical journal. 98(2) |
| ISSN: | 0038-4348 |
| Popis: | Background Bacterial spondylodiscitis is rarely caused by anaerobic organisms. We describe two patients with lumbar vertebral osteomyelitis and discitis caused by anaerobic bacteria, including an unusual occurrence after an endodontic procedure, and review the salient clinical features and outcomes of 31 previously reported cases. Methods Case reports and review of the literature. Results Median age at presentation was 65 years, with a male-to-female ratio of 2:1. The most common presenting symptoms were back pain, fever, and neurologic deficits. The lumbar spine was most frequently involved (43%); an equal number of cases involved contiguous extension or hematogenous spread. Causative anaerobes were recovered from disk space or vertebrae (13), blood (4), and/or soft tissue abscess and included Bacteroides species (12), Propionibacterium acnes (7), Peptococcus species (4), Peptostreptococcus species and Clostridium species (3 each), Corynebacterium diphtheroides and Fusobacterium species (2 each), and unspecified anaerobes (3). Conclusions Apart from specific antibiotic selection, medical treatment and outcomes for anaerobic spondylodiscitis are similar to those for aerobic vertebral disk infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|