1995
DOI: 10.1093/clinids/20.2.320
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Pyogenic Vertebral Osteomyelitis: Analysis of 20 Cases and Review

Abstract: The diagnosis of vertebral osteomyelitis is easily missed, particularly for the elderly in whom signs of sepsis may not manifest. The case records of 20 patients with vertebral osteomyelitis who were treated at our hospital between January 1989 and April 1993 were reviewed. The average age of the patients was 72 years. Infection was most commonly due to intravenous cannula-related sepsis. Eighty-five percent of patients presented with back pain, and only 30% had a fever. Computerized tomography and magnetic re… Show more

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Cited by 221 publications
(145 citation statements)
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“…Back or neck pain is very common, but up to 15% of patients may be pain-free. Fever is less commonly experienced and occurs in only about half of patients [8,11,12]. In Valancius et al's study [13], back pain was the most common symptom, with 72.4% of patients reporting back pain.…”
Section: Resultsmentioning
confidence: 98%
“…Back or neck pain is very common, but up to 15% of patients may be pain-free. Fever is less commonly experienced and occurs in only about half of patients [8,11,12]. In Valancius et al's study [13], back pain was the most common symptom, with 72.4% of patients reporting back pain.…”
Section: Resultsmentioning
confidence: 98%
“…aureus is the most common pathogen in all three major classes of osteoarticular infection, namely, osteomyelitis (OM) (382)(383)(384)(385)(386)(387)(388)(389)(390)(391)(392), native joint septic arthritis (393)(394)(395)(396)(397)(398)(399)(400)(401), and prosthetic joint infection (PJI) (402)(403)(404)(405)(406). As staphylococcal osteoarticular infections in children are common and have distinctive clinical and management issues compared to those in adults, we include an in-depth discussion of this important subpopulation.…”
Section: Osteoarticular Infectionsmentioning
confidence: 99%
“…Lumbar vertebrae are most frequently affected, followed by thoracic and then cervical regions (384,386,412). Notably, the diagnosis of vertebral OM is frequently delayed, with an interval of Ͼ1 month from symptom onset to diagnosis for the majority of patients (386,389,391,392,414). Delayed diagnosis has been associated with poorer longer-term outcomes, including death, chronic pain, and residual disability (386).…”
Section: Osteomyelitismentioning
confidence: 99%
“…Smertene kan forverres om natten, men kan også initialt lindres ved sengeleie. Feber et angitt hos opp til 50 % av pasientene, men mange pasienter med ryggsmerter får ikke-steroide antiinflammatoriske midler (NSAID-preparater) som kan kamuflere feber (2). Hvis tilstanden kompliseres av epidural abscess, kan det komme nevrologiske utfall, eventuelt med pareser.…”
Section: Kommentarunclassified