[Infectious spondylitis]. / Espondilitis infecciosa.

Vertebral osteomyelitis or spondylodiscitis is an uncommon, mainly hematogenous, disease that usually affects adults. The incidence of this condition has steadily risen in recent years because of increases in spine surgery and nosocomial bacteremia, aging of the population, and intravenous drug addiction. Pyogenic infection due to Staphylococcus aureus is the most frequent form of the disease, but tuberculosis and brucellosis are still common causes of spondylitis in Spain. The clinical presentation is nonspecific and the diagnosis is often delayed. Magnetic resonance imaging is the most sensitive radiologic technique for this disease. Blood cultures are often positive, but computed tomography-guided needle biopsy or surgical biopsy of the affected vertebra is sometimes required to achieve a microbiological diagnosis. Prolonged antibiotic therapy and occasionally surgery are essential for cure in most patients, and both factors have contributed to a reduction in the morbidity and mortality of the disease in recent years.

Espondilitis infecciosa / Infectious spondylitis

La osteomielitis vertebral o espondilodiscitis es una enfermedad poco frecuente que suele afectar a adultos. Su incidencia ha aumentado en los últimos años debido a la mayor frecuencia de procedimientos quirúrgicos espinales y de bacteriemia nosocomial, el envejecimiento de la población y la adicción a drogas intravenosas. La infección hematógena es la causa más común de espondilitis. La infección piógena, producida por Staphylococcus aureus, es la forma más frecuente de enfermedad, aunque la tuberculosis y la brucelosis son todavía una etiología frecuente en nuestro país. La presentación clínica es inespecífica, lo que condiciona un gran retraso diagnóstico. La resonancia magnética es la técnica de imagen más sensible. Los hemocultivos son, con frecuencia, positivos, pero suele ser necesaria la biopsia vertebral quirúrgica o guiada por tomografía para conseguir el diagnóstico microbiológico. El tratamiento antibiótico prolongado y ocasionalmente la cirugía son esenciales para conseguir la curación en la mayoría de los enfermos y ambos factores han contribuido a la reducción de su morbimortalidad en los últimos años (AU)

Vertebral osteomyelitis or spondylodiscitis is an uncommon, mainly hematogenous, disease that usually affects adults. The incidence of this condition has steadily risen in recent years because of increases in spine surgery and nosocomial bacteremia, aging of the population, and intravenous drug addiction. Pyogenic infection due to Staphylococcus aureus is the most frequent form of the disease, but tuberculosis and brucellosis are still common causes of spondylitis in Spain. The clinical presentation is nonspecific and the diagnosis is often delayed. Magnetic resonance imaging is the most sensitive radiologic technique for this disease. Blood cultures are often positive, but computed tomography-guided needle biopsy or surgical biopsy of the affected vertebra is sometimes required to achieve a microbiological diagnosis. Prolonged antibiotic therapy and occasionally surgery are essential for cure in most patients, and both factors have contributed to a reduction in the morbidity and mortality of the disease in recent years (AU)

Meningitis por Enterococcus faecium resistente a vancomicina / Vancomycin-resistant Enterococcus faecium meningitis

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Deterioro neurológico brusco en paciente adicto a drogas por vía parenteral / Sudden neurological deterioration in a patient addicted to intravenous drugs

No disponible