Discitis or diskitis is an infection in the intervertebral disc space that affects different age groups. It can be caused due to spinal tuberculosis and spread along spinal ligament to involve the adjacent anterior vertebral bodies, causing. can occur anywhere in the vertebral column but more commonly involves lumbar spine; single level involvement (65%); multiple contiguous levels (20%). Espondilodiscitis tuberculosa con tumoración lumbar. Tuberculous spondylodiskitis with lumbar tumor. María Cristina López-Sáncheza, Gabriela Calvo Arrojoa.
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Without treatment, the patient may form an abscess which may need to be surgically corrected. Its clinical presentation is very inespecific, sometimes with fever, abdominal or lumbar disconfort, nocturnal pain, altered walking and sedestation.
Kingella kingae spondylodiscitis in espondilodisxitis children: Otras causas incluyen M. If untreated, the discitis may resolve on its own, causing spontaneous fusion of the intervertebral disc space, cause a chronic low grade infection, or progress to osteomyelitis and possibly even an epidural abscess. Spine ; 30 3: Araya I, Camponovo R. April Learn how and when to remove this template message.
From Wikipedia, the free encyclopedia. Dormans J, Moroz L. MRI is the imaging modality of choice due to its very high sensitivity and specificity. Accedido 18 de diciembre Views Read Edit View history.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of espondilodscitis journal’s impact.
Espondilodiscitis tuberculosa con tumoración lumbar | Reumatología Clínica (English Edition)
J Radiol ; Often, the white blood cell count will be normal and the patient will be afebrile. Case 22 Case L5-S1 with epidural abscesses. If the patient is an adult many surgeons and doctors now recommend moving little and often and within the pain limits of the medication.
Nontuberculous spondylodiscitis in children. Pediatric Orthopedics in Practice. J Am Acad Orthop Surg ; Musculoskeletal infections in children: Symptoms include severe back pain, leading to lack of mobility.
Spinal curvature Kyphosis Lordosis Scoliosis. Due to the poor vascularity of the disc, drugs required espondioodiscitis treatment often include potent agents such as Ciprofloxacin along with Vancomycin.
Tratamiento de la s enfermedades infecciosas. Erratum in J Clin Microbiol ; 47 9: In the pediatric age group infection often starts in the intervertebral disk itself direct blood supply still present whereas in adults infection is thought to espondilodisditis at the vertebral body endplate, extending into the intervertebral disk space and then into the adjacent vertebral body endplate.
A retrospective study of 14 cases”. In adults it can lead to severe consequences such as sepsis or epidural abscess but can also spontaneously resolve, especially in children under 8 years of age.
Unable to process the form. Not infrequently, a WBC scan demonstrates cold spots, a non-specific finding. Molecular diagnosis of Kingella kingae osteoarticular infections by specific real-time PCR assay. J Microbiol ; As such, infectious spondylodiscitis can virtually be excluded by a negative scan.
Discitis and vertebral osteomyelitis in children: It is important to differentiate between spontaneous discitis which is usually from hematologic spread from a urinary or respiratory infection versus that from a post-operative complication which usually involves skin flora such as staph aureus. J Med Microbiol ; L5-S1 with epidural abscesses Case A bone scan lumnar white cell WBC scan may be used to demonstrate increased uptake at the site of infection, and are more sensitive than plain film and CT, but lack specificity.
Published studies are primarily clinical and epidemiological research but also basic. Los pacientes afectados por tuberculosis deben recibir esponddilodiscitis tratamiento normado. Case 15 Case Specificity is not as high 10,16but monitoring of treatment results is possible 9.
In post-operative situations, the symptoms occur within a week and result in severe low back pain or neck pain depending on the surgical location. D ICD – During the last years, spondilodiskitis due to Kingella kingae has been a new target of interest, since it is the ewpondilodiscitis agent that causes non espondilosiscitis espondilodiskitis in children, after Staphylococcus aureus.
Case 14 Case Case 6 Case 6. Loading Stack – 0 images remaining. Case 19 Case Pintado V, Gudiol F. This article needs additional citations for verification.