Pneumococcal vertebral osteomyelitis: a unique case with atypical clinical course.
Spine (Phila Pa 1976)
; 26(21): 2397-9, 2001 Nov 01.
Article
em En
| MEDLINE
| ID: mdl-11679828
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
To report and discuss a case of pneumococcal vertebral osteomyelitis with meningitis in a previously healthy 51-year-old immunocompetent woman who presented with acute onset lower back pain. SUMMARY OF BACKGROUND DATA To the authors' knowledge, pneumococcal vertebral osteomyelitis with meningitis in an immunocompetent person with no other predisposing factor has not been reported previously.METHODS:
The patient was diagnosed to have pneumococcal meningitis 10 days after the onset of acute and severe lower back pain. Significant improvement of clinical symptoms from meningitis was achieved with appropriate antimicrobial treatment. Lumbar CT and MRI scans were performed on persistence of fever and lower back pain. Loss of height and peridiscal inflammation at L3-L4 and epidural and bilateral psoas abscesses were detected.RESULTS:
Diagnosis of pneumococcal vertebral osteomyelitis was established after evaluation of the material obtained from CT-guided aspiration of the psoas abscess and biopsy of the L3 body. With appropriate antimicrobial treatment, the patient's complaints resolved completely.CONCLUSION:
To the authors' knowledge, this is the first reported case of pneumococcal vertebral osteomyelitis with meningitis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteomielite
/
Infecções Pneumocócicas
/
Espondilolistese
/
Vértebras Lombares
/
Meningite
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Spine (Phila Pa 1976)
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Turquia