Early surgical intervention for spinal infection in patients with malignancy requiring chemotherapy: report of two cases and review of the literature.
Eur J Orthop Surg Traumatol
; 23 Suppl 2: S155-8, 2013 Nov.
Article
em En
| MEDLINE
| ID: mdl-23412213
ABSTRACT
Advances in chemotherapy for various malignancies have contributed to the increased life expectancy of patients. If such a patient has a concurrent infection, his/her oncologist would hesitate to perform prompt chemotherapy owing to the risk of inducing sepsis. Therefore, the treatment of infection would have priority over initiating chemotherapy for the malignancy. We present a 69-year-old female with malignant lymphoma requiring prompt chemotherapy who also demonstrated spinal infection with Mycobacterium tuberculosis and a 66-year-old male with esophageal cancer who also demonstrated spinal infection with Staphylococcus aureus. Anterior debridement and interbody fusion were performed for both patients. One patient died of malignant lymphoma 4 years after surgery, and the other is still alive and has remained disease-free 4 years after surgery. Saving the life of a patient with malignancy would be difficult without prompt chemotherapy. Conservative treatment for spinal infection requires prolonged antibiotic treatment, and there is no guarantee that the spinal infection would be controlled only with antibiotics. Therefore, early surgical intervention would be an alternative option under such a condition.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
3_ND
Base de dados:
MEDLINE
Assunto principal:
Infecções Estafilocócicas
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Tuberculose da Coluna Vertebral
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Neoplasias Esofágicas
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Linfoma Difuso de Grandes Células B
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Vértebras Lombares
Limite:
Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Eur J Orthop Surg Traumatol
Ano de publicação:
2013
Tipo de documento:
Article