RESUMO
Spondylodiscitis is an infection of the vertebral body and adjacent intervertebral discs, whose most common means of spreading is the haematogenous route. It is a rare disease but its overall incidence is increasing, mainly due to increased bacteraemia in patients with intravascular devices, such as that used in patients on renal replacement therapy with haemodialysis. Its diagnosis is difficult due to non-specific symptoms and as such, for early and accurate diagnosis, MRI is necessary. The early empirical antibiotic treatment and the multidisciplinary approach may improve the prognosis of this potentially serious infection. We report a series of cases diagnosed with spondylodiscitis in our Nephrology Unit.
Assuntos
Discite/diagnóstico , Discite/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , NefrologiaRESUMO
La espondilodiscitis es una infección del cuerpo vertebral y los discos adyacentes, cuya forma de diseminación más frecuente es la vía hematógena. Se trata de una entidad rara pero con una incidencia global en aumento, debido principalmente al incremento de bacteriemias en portadores de dispositivos intravasculares, como el utilizado en pacientes en tratamiento renal sustitutivo con hemodiálisis. Su diagnóstico es difícil por presentarse con síntomas inespecíficos, por lo que para un diagnóstico precoz y preciso es necesario el uso de la resonancia magnética. El tratamiento antibiótico empírico temprano y el abordaje multidisciplinario mejoran el pronóstico de esta infección potencialmente grave. Presentamos una serie de casos diagnosticados de espondilodiscitis en nuestra Sección de Nefrología (AU)
Spondylodiscitis is an infection of the vertebral body and adjacent intervertebral discs, in which hematogenous spread is by far the most common cause. This is a rare disease but its overall incidence is increasing, due mainly to increased bacteremia in patients with intravascular catheter as it is used in hemodialysis, being Staphylococcus aureus the most common organism. The diagnosis is difficult because of nonspecific symptoms. The use of magnetic resonance imaging allows an early and accurate diagnosis. The early empirical antibiotic treatment may improve the outcome of this potentially catastrophic infection, so it requires the collaboration of a multidisciplinary team of physicians to optimal therapy. We report a case series of spondylodiscitis diagnosed in our Nephrology Unit (AU)