Espondilodiscitis: Análisis de una serie de 25 casos

Background: Spondylodiscitis is a rare but prolonged inflammation of two adjacent vertebral bodies and the disk in between. Aim: To report the clinical features of a series of patients with spondylodiscitis. Material and methods: A retrospective analysis of medical records of patients with spondylit...

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Autores principales:	Fica C,Alberto, Bozán P,Francisca, Aristegui V,Magdalena, Bustos G.,Patricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Tuberculosis, osteoarticular
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500001
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spelling	oai:scielo:S0034-988720030005000012004-12-13Espondilodiscitis: Análisis de una serie de 25 casosFica C,AlbertoBozán P,FranciscaAristegui V,MagdalenaBustos G.,Patricio Tuberculosis, osteoarticular Background: Spondylodiscitis is a rare but prolonged inflammation of two adjacent vertebral bodies and the disk in between. Aim: To report the clinical features of a series of patients with spondylodiscitis. Material and methods: A retrospective analysis of medical records of patients with spondylitis, identified between 1989 and 2002. Results: A total of 25 cases were identified, 15 female, aged 49.8 years as a mean. Their mean evolution before admission was 4.3 months. Main complaints were back or radicular pain. Mild anemia was present in most patients. Mean erythrocyte sedimentation rate and C reactive protein values were 66 mm/h and 60 mg/L, respectively. Forty four percent of patients had neurological complications. Vertebral computed tomography and scintigraphic studies were done in 72% of patients, but magnetic resonance imaging was done only in 4 (16%). In 18 patients, a tissue sample for pathological and microbiological analysis, was obtained by imaging guiding or surgically. Tuberculosis, diagnosed on pathology, was the leading cause of spondylitis in nine cases (36%), followed by Staphylococcus aureus infection in five (20%). Other agents found were E coli and group D Streptococcus (one each). Age, symptoms, evolution time and different laboratory parameters did not differ between patients with tuberculosis and patients with other causes. A microbiological cause was not established in 36% of cases. Most patients evolved satisfactorily and recovered from neurological complications (88%). One patient with tuberculosis did not improve after prolonged treatment and 2 patients infected with S aureus died (8%). Conclusions: Spondylodiscitis is associated to a diversity of microbial agents and in most cases has a favorable prognosis (Rev Méd Chile 2003; 131: 473-82).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.5 20032003-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500001es10.4067/S0034-98872003000500001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Tuberculosis, osteoarticular
spellingShingle	Tuberculosis, osteoarticular Fica C,Alberto Bozán P,Francisca Aristegui V,Magdalena Bustos G.,Patricio Espondilodiscitis: Análisis de una serie de 25 casos
description	Background: Spondylodiscitis is a rare but prolonged inflammation of two adjacent vertebral bodies and the disk in between. Aim: To report the clinical features of a series of patients with spondylodiscitis. Material and methods: A retrospective analysis of medical records of patients with spondylitis, identified between 1989 and 2002. Results: A total of 25 cases were identified, 15 female, aged 49.8 years as a mean. Their mean evolution before admission was 4.3 months. Main complaints were back or radicular pain. Mild anemia was present in most patients. Mean erythrocyte sedimentation rate and C reactive protein values were 66 mm/h and 60 mg/L, respectively. Forty four percent of patients had neurological complications. Vertebral computed tomography and scintigraphic studies were done in 72% of patients, but magnetic resonance imaging was done only in 4 (16%). In 18 patients, a tissue sample for pathological and microbiological analysis, was obtained by imaging guiding or surgically. Tuberculosis, diagnosed on pathology, was the leading cause of spondylitis in nine cases (36%), followed by Staphylococcus aureus infection in five (20%). Other agents found were E coli and group D Streptococcus (one each). Age, symptoms, evolution time and different laboratory parameters did not differ between patients with tuberculosis and patients with other causes. A microbiological cause was not established in 36% of cases. Most patients evolved satisfactorily and recovered from neurological complications (88%). One patient with tuberculosis did not improve after prolonged treatment and 2 patients infected with S aureus died (8%). Conclusions: Spondylodiscitis is associated to a diversity of microbial agents and in most cases has a favorable prognosis (Rev Méd Chile 2003; 131: 473-82).
author	Fica C,Alberto Bozán P,Francisca Aristegui V,Magdalena Bustos G.,Patricio
author_facet	Fica C,Alberto Bozán P,Francisca Aristegui V,Magdalena Bustos G.,Patricio
author_sort	Fica C,Alberto
title	Espondilodiscitis: Análisis de una serie de 25 casos
title_short	Espondilodiscitis: Análisis de una serie de 25 casos
title_full	Espondilodiscitis: Análisis de una serie de 25 casos
title_fullStr	Espondilodiscitis: Análisis de una serie de 25 casos
title_full_unstemmed	Espondilodiscitis: Análisis de una serie de 25 casos
title_sort	espondilodiscitis: análisis de una serie de 25 casos
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500001
work_keys_str_mv	AT ficacalberto espondilodiscitisanalisisdeunaseriede25casos AT bozanpfrancisca espondilodiscitisanalisisdeunaseriede25casos AT aristeguivmagdalena espondilodiscitisanalisisdeunaseriede25casos AT bustosgpatricio espondilodiscitisanalisisdeunaseriede25casos
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Espondilodiscitis: Análisis de una serie de 25 casos

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