Abstract:Study design: Case report. Objective: Vertebral osteomyelitis, usually presented with back pain and local tenderness, can pose a great challenge of early diagnosis among spinal cord injury (SCI) patients who lost sensation below the injured level. We reported a paraplegic patient who had recurrent febrile episodes after being treated as urinary tract infection initially and was discovered later to have vertebral osteomyelitis. Case report: A 41-year-old man, completely paralyzed at the T11 level and with Foley… Show more
“…The recommended duration of treatment for osteomyelitis in adults is four to six weeks of parenteral antibiotic therapy to achieve acceptable cure rates with a decreased risk of recurrence [ 7 , 9 , 10 ]. In cases where the infected bone is completely debrided or amputated, with clean, disease-free margins, a shorter duration of antibiotic therapy is acceptable.…”
Diagnosis of spondylodiscitis is often challenging, delayed, or even missed due to the uncommonness of the disease, and it can lead to devastating consequences. Therefore, a high index of suspicion is needed for prompt diagnosis and improved long-term outcomes. Vertebral osteomyelitis, or spondylodiscitis, is a rare disease with increasing prevalence due to advanced spinal surgical procedures, nosocomial bacteremia, increased life expectancy, and intravenous drug use. Hematogenous infection is the most common cause of spondylodiscitis. We report a case of a 63-year-old man with a history of liver cirrhosis who initially presented due to abdominal distension. During his hospital stay, he complained of uncontrolled back pain due to Escherichia coli spondylodiscitis.
“…The recommended duration of treatment for osteomyelitis in adults is four to six weeks of parenteral antibiotic therapy to achieve acceptable cure rates with a decreased risk of recurrence [ 7 , 9 , 10 ]. In cases where the infected bone is completely debrided or amputated, with clean, disease-free margins, a shorter duration of antibiotic therapy is acceptable.…”
Diagnosis of spondylodiscitis is often challenging, delayed, or even missed due to the uncommonness of the disease, and it can lead to devastating consequences. Therefore, a high index of suspicion is needed for prompt diagnosis and improved long-term outcomes. Vertebral osteomyelitis, or spondylodiscitis, is a rare disease with increasing prevalence due to advanced spinal surgical procedures, nosocomial bacteremia, increased life expectancy, and intravenous drug use. Hematogenous infection is the most common cause of spondylodiscitis. We report a case of a 63-year-old man with a history of liver cirrhosis who initially presented due to abdominal distension. During his hospital stay, he complained of uncontrolled back pain due to Escherichia coli spondylodiscitis.
ObjectiveTo describe expected imaging findings to assist the emergency room radiologist with recognising complications and pathology unique to the spinal cord injury (SCI) patient population to ensure rapid and accurate diagnosis.MethodsPictorial review.ResultsWe review several imaging findings common to persons with chronic SCI, emphasising imaging in the emergency setting and on CT.ConclusionSCI patients present a unique diagnostic challenge, as they may present with symptoms that are difficult to localise because of abnormal sensation and autonomic instability. Imaging plays an important role in the emergent setting, rapidly differentiating the most commonly encountered complications from less common, unanticipated complications. Radiologists need to be attuned to both the expected findings and potential complications, which may be unique to SCI patients, to ensure accurate diagnosis and treatment in the emergency setting.Main Messages• Medical complications after spinal cord injury are common and associated with significant morbidity.• Radiologists should be aware of complications unique to the SCI population to aid diagnosis.• Due to abnormal sensation, SCI patients often present with symptoms that are difficult to localise.• In the ED, imaging helps to rapidly differentiate common complications from less anticipated ones.
In Taiwan, HPVO mainly affected the elderly and S. aureus remained the most common HPVO pathogen. In patients with risk factors associated with HPVO recurrence, a longer duration (≥6 weeks) of antimicrobial therapy is suggested.
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