A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases

Objective Spondylodiscitis is an important clinical a problem requiring serious approaches. In this study, we sought to raise awareness by examining the epidemiology and laboratory, clinical, and radiological findings of spondylodiscitis, which sometimes has a delayed diagnosis and which can be diff...

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Autores principales:	Safak Kaya, Sehmuz Kaya, Seyhmus Kavak, Senol Comoglu
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4bf1e97684ed48d188373b7f404826bb
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spelling	oai:doaj.org-article:4bf1e97684ed48d188373b7f404826bb2021-12-02T08:04:34ZA disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases1473-230010.1177/03000605211060197https://doaj.org/article/4bf1e97684ed48d188373b7f404826bb2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211060197https://doaj.org/toc/1473-2300Objective Spondylodiscitis is an important clinical a problem requiring serious approaches. In this study, we sought to raise awareness by examining the epidemiology and laboratory, clinical, and radiological findings of spondylodiscitis, which sometimes has a delayed diagnosis and which can be difficult to treat. Methods In total, 343 patients with spondylodiscitis were included in the study. Results The patients were classified as having as pyogenic (n = 153, 44.6%), brucellar (n = 138, 40.2%), or tuberculous (n = 52, 15.2%) spondylodiscitis. Meanwhile, 281 patients underwent magnetic resonance imaging, 71 underwent computed tomography, and 17 underwent scintigraphy for diagnosis. The rates of involvement at more than two segments and paraspinal abscess were significantly higher in tuberculous spondylodiscitis. However, disc involvement was significantly more common in brucellar and pyogenic spondylodiscitis. Conclusion The incidence of spondylodiscitis has increased substantially, especially in the young population. The invasive procedures and high rate of culture negativity make the diagnosis difficult. Therefore, clinical and radiological findings are useful in the diagnosis of spondylodiscitis. Despite the high rate of culture negativity, every effort should be made to identify the causative organism using invasive methods.Safak KayaSehmuz KayaSeyhmus KavakSenol ComogluSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Safak Kaya Sehmuz Kaya Seyhmus Kavak Senol Comoglu A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
description	Objective Spondylodiscitis is an important clinical a problem requiring serious approaches. In this study, we sought to raise awareness by examining the epidemiology and laboratory, clinical, and radiological findings of spondylodiscitis, which sometimes has a delayed diagnosis and which can be difficult to treat. Methods In total, 343 patients with spondylodiscitis were included in the study. Results The patients were classified as having as pyogenic (n = 153, 44.6%), brucellar (n = 138, 40.2%), or tuberculous (n = 52, 15.2%) spondylodiscitis. Meanwhile, 281 patients underwent magnetic resonance imaging, 71 underwent computed tomography, and 17 underwent scintigraphy for diagnosis. The rates of involvement at more than two segments and paraspinal abscess were significantly higher in tuberculous spondylodiscitis. However, disc involvement was significantly more common in brucellar and pyogenic spondylodiscitis. Conclusion The incidence of spondylodiscitis has increased substantially, especially in the young population. The invasive procedures and high rate of culture negativity make the diagnosis difficult. Therefore, clinical and radiological findings are useful in the diagnosis of spondylodiscitis. Despite the high rate of culture negativity, every effort should be made to identify the causative organism using invasive methods.
format	article
author	Safak Kaya Sehmuz Kaya Seyhmus Kavak Senol Comoglu
author_facet	Safak Kaya Sehmuz Kaya Seyhmus Kavak Senol Comoglu
author_sort	Safak Kaya
title	A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
title_short	A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
title_full	A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
title_fullStr	A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
title_full_unstemmed	A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
title_sort	disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/4bf1e97684ed48d188373b7f404826bb
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A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases

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