Low back pain after a dental procedure: a case of<i>Streptococcus viridans</i>vertebral osteomyelitis

Nazir, Salik; Lohani, Saroj; Tachamo, Niranjan; Rajagopalan, Priya

doi:10.1136/bcr-2016-216087

Cited by 3 publications

(1 citation statement)

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“…Так, S. Nazir и соавт. описали случай развития остеомиелита позвонков, вызванный Streptococcus viridans у 67-летней женщины после ýкстракции зуба и установки зубного имплантата за 2 мес до начала болей в пояснице, связанный с лихорадкой и ознобом в течение 3 нед [4]. K.C.…”

Section: резюмеunclassified

Infectious endocarditis сomplicated spondilodiscitis

Талипова¹,

Жолдин²,

Сейтмагамбетова³

et al. 2018

Bûll. sib. med.

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This publication presents a clinical case of infectious endocarditis in an adult male aged 60, with manifestation of the disease in the form of spondilodiscitis. The presented observation demonstrates the development of onset of infectious endocarditis of bacterial spondylodiscitis in the adult patient. For a long time the patient’s intensive pain in the lumbar region could not be connected with infective endocarditis. According to the results of the examination the changes in the spine were not evaluated as an onset of IE. Dynamic observation and control MRT study allowed for the conclusion about bacterial spondilodiscitis in our patient with IE and to connect these two processes. In such clinical cases, MRT of the spine or positron emission tomography combined with computed tomography using a radiopharmaceutical 18F-fluorodeoxyglucose (F-FDG- PET / CT) of the whole body is recommended. In the case of a specific spondilodiscitis, the continuation of antibacterial therapy is determined by signs of inflammatory activity on F-FDG-PET / CT or MRT of the spine.

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Section: резюмеunclassified

Infectious endocarditis сomplicated spondilodiscitis

Талипова¹,

Жолдин²,

Сейтмагамбетова³

et al. 2018

Bûll. sib. med.

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Ceftriaxone

2016

Reactions Weekly

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Streptococcus intermedius: an unusual cause of spinal epidural abscess

Ramhmdani¹,

Bydon²

2017

J. Spine Surg.

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Spinal epidural abscess (SEA) following dental procedures is a rarely reported entity. Here, we present a unique case of a 74-year-old immunocompetent man who developed severe lower back pain and bilateral lower extremity weakness 4 days following two root canal procedures. Lumbar spine magnetic resonance imaging (MRI) showed several pockets of epidural abscesses extending from L1 through L5. Blood cultures grew Streptococcus intermedius, an anaerobic commensal bacterium of the normal flora of the mouth and upper airways. The patient was treated with IV penicillin for 7 days but his symptoms continued to deteriorate. A repeat MRI showed extension of the epidural abscess to T10-T11 level. The patient was emergently transferred to our hospital where he underwent bilateral decompressive laminectomy of T10 through S1 and abscess evacuation. Pus culture was positive for Streptococcus intermedius, which confirmed the diagnosis and the treatment plan. He was discharged on intravenous (IV) penicillin for 6 weeks. His symptoms improved significantly postoperatively as he retained his baseline strength in his lower extremity.

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Low back pain after a dental procedure: a case ofStreptococcus viridansvertebral osteomyelitis

Cited by 3 publications

References 12 publications

Infectious endocarditis сomplicated spondilodiscitis

Infectious endocarditis сomplicated spondilodiscitis

Ceftriaxone

Streptococcus intermedius: an unusual cause of spinal epidural abscess

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