Vertebral osteomyelitis and paravertebral abscess due to Salmonella oranienburg
 in a child

ABSTRACTWe retrospectively reviewed medical records to identify the factors that affect the results of culture in patients with pyogenic vertebral osteomyelitis. In multivariate analysis, the presence of paravertebral abscess was associated with positive results of microbiologic culture. Prior antibiotic exposure, especially of longer duration, was strongly associated with negative results.

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Q Fever Vertebral Osteomyelitis Complicating Vertebroplasty

Rambam Maimonides Medical Journal ◽

10.5041/rmmj.10430 ◽

2021 ◽

Vol 12 (1) ◽

pp. e0007

Author(s):

Karina Dorfman ◽

◽

Ayelet Eran ◽

Nesrin Ghanem-Zoubi ◽

◽

...

Keyword(s):

Clinical Presentation ◽

Q Fever ◽

Acute Infection ◽

Vertebral Osteomyelitis ◽

Patient Treatment ◽

Vascular Prostheses ◽

Paravertebral Abscess ◽

Long Duration ◽

Chronic Q Fever ◽

Culture Negative

Query (Q) fever is a zoonotic bacterial infection caused by Coxiella burnetii. In a minority of patients, chronic disease can occur after acute infection. Endocarditis and infections of aneurysms or vascular prostheses are the most common forms of chronic Q fever in adults. We report a case of an elderly female patient with chronic Q fever vertebral osteomyelitis at the site of her previous cement vertebroplasty, complicated by paravertebral abscess. Patient treatment required prolonged drainage in addition to the long duration of antibiotic treatment by doxycycline and hydroxychloroquine. Osteomyelitis is a rare clinical presentation in adults with chronic Q fever. However, it is important to consider Q fever in the differential diagnosis of culture-negative osteomyelitis, especially in countries where C. burnetii is endemic, such as Israel.

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Vertebral osteomyelitis with paravertebral abscess due to Mycobacterium xenopi

Clinical Microbiology Newsletter ◽

10.1016/0196-4399(90)90017-6 ◽

1990 ◽

Vol 12 (12) ◽

pp. 94-95 ◽

Cited By ~ 2

Author(s):

Paula G. Jones ◽

Mark A. Schrager ◽

Ronald J. Zabransky

Keyword(s):

Vertebral Osteomyelitis ◽

Paravertebral Abscess ◽

Mycobacterium Xenopi

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Frequency of various forms of spondylodiscitis on spinal column segments

Radiološke tehnologije ◽

10.48026/issn.26373297.2021.12.1.6 ◽

2021 ◽

Vol 12 (1) ◽

pp. 32-37

Author(s):

Aldin Kajmaković ◽

Azra Kožo Kajmaković ◽

Jasmina Čorović Kuburović

Keyword(s):

Intervertebral Disc ◽

Vertebral Osteomyelitis ◽

Spinal Column ◽

Diagnostic Procedures ◽

Microbiological Analysis ◽

Descriptive Research ◽

Frequent Form ◽

Paravertebral Abscess ◽

Mri Scans ◽

Spine Mri

Introduction: The term spinal infections or spinal column infections usually include processes localized in various parts of spinal column, parts of vertebrae as well as in intervertebral disc. There are three main types of spondylodiscitis. Bacterial spondylodiscitis (vertebral osteomyelitis) is inflammatory process usually involving two (neighboring) vertebrae and intervertebral disc causing the space for the disc between the vertebrae to be narrowed down. The aim of this paper is to present the frequency of various forms of spondylodiscitis on spinal column segments following laboratory, microbiological and radiological diagnostic procedures.Patients and methods: Descriptive research method was used in the work, as it was deemed appropriate for this type of research analysis. Diagnostic procedures used include: laboratory tests, microbiological analysis, MRI scans of cervical spine, MRI scans of thoracic spine, MRI scans of L/S spinal column.Results: Out of 307 patients included in the research, in 109 occurrences spondylodiscitis was verified on various parts of spinal column. Brucellosis spondylodiscitis represents the most frequent form (in 86% of patients), and the majority of occurrences was localized at lumbosacral part of spinal column. During the research, quite unusually, there was also one occurrence of spondylodiscitis with paravertebral abscess on cervical part of spinal column. It is also a type of brucellosis spondylodiscitis. The use of magnetic resonance imaging appears to be gold standard in diagnostics of spondylodiscitis, especially following the application of contrast agent and the use of T1 FS (fat saturation) sequences along with standard tomograms in times T1 and T2. The majority, up to 262 (85.3%) of Elisa tests were related to brucellosis. In 245 out of 307 cases, the result was positive, that is in direct relation to the fact that various forms of brucellosis are present in the areas being examined.Conclusion: Research results indicated that spondylodiscitis was diagnosed in all segments of spinal column. The most frequent occurrences are on L/S part of spinal column and the most frequent form of brucellosis is spondylodiscitis.

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Vertebral Osteomyelitis Caused byMycobacterium abscessusSurgically Treated Using Antibacterial Iodine-Supported Instrumentation

Case Reports in Orthopedics ◽

10.1155/2014/197061 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Satoshi Kato ◽

Hideki Murakami ◽

Satoru Demura ◽

Katsuhito Yoshioka ◽

Hiroyuki Hayashi ◽

...

Keyword(s):

Vertebral Osteomyelitis ◽

Mycobacterium Abscessus ◽

Ct Guided ◽

Paravertebral Abscess ◽

Disease Condition ◽

History Of ◽

Radical Debridement ◽

Guided Puncture ◽

Immunocompromised Hosts ◽

Anterior Reconstruction

Mycobacterium abscessusinfections rarely develop in healthy individuals, and mostly they occur in immunocompromised hosts. Vertebral osteomyelitis due toMycobacterium abscessusis very rare and only three previous cases of spinal infection caused byMycobacterium abscessushave been reported.Mycobacterium abscessusisolates are uniformly resistant to antituberculous agents and can display a virulent biofilm-forming phenotype. The patient was a 67-year-old woman with vertebral osteomyelitis of the L1-2. She was healthy without immune-suppressed condition, history of trauma, or intravenous drug use. The smear examination of the specimen harvested by CT-guided puncture of the paravertebral abscess revealedMycobacterium abscessus. Her disease condition did not abate with conservative treatment using antimicrobial chemotherapy. Radical debridement of the vertebral osteomyelitis and anterior reconstruction from T12 to L2 using antibacterial iodine-supported instrumentation were performed. Chemotherapy using clarithromycin, amikacin, and imipenem was applied for 6 months after surgery as these antibiotics had been proven to be effective toMycobacterium abscessusafter surgery. Two years after surgery, the infected anterior site healed and bony fusion was successfully achieved without a recurrence of infection.

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Foot ulceration and vertebral osteomyelitis with Corynebacterium haemolyticum

Archives of Dermatology ◽

10.1001/archderm.113.5.646 ◽

1977 ◽

Vol 113 (5) ◽

pp. 646-647 ◽

Cited By ~ 2

Author(s):

R. I. Ceilley

Keyword(s):

Vertebral Osteomyelitis ◽

Foot Ulceration

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A Rare Case of Spinal Leprosy Mimicking Spinal Tuberculosis

International Journal of Human and Health Sciences (IJHHS) ◽

10.31344/ijhhs.v0i0.151 ◽

2019 ◽

pp. 33

Author(s):

K Thuraikumar ◽

V Naveen ◽

Mustaqim A ◽

Arieff AA ◽

K Shri ◽

...

Keyword(s):

Back Pain ◽

Soft Tissue ◽

Histopathological Examination ◽

Posterior Instrumentation ◽

Spinal Tuberculosis ◽

Previous History ◽

Skin Lesions ◽

Titanium Implants ◽

Paravertebral Abscess ◽

History Of

Introduction: Spinal tuberculosis is the most common manifestation of extrapulmonar y tuberculosis. A combination of leprosy and tuberculosis is a rare entity.Case report: A 44-year-old male patient working as a laborer presented to our hospital with complaints of severe back pain and swelling over the back, difficulty in walking, associated with constitutional symptoms. On admission, he was febrile and had leukocytosis. Initial spine X-ray showed end plate destruction and increase in soft tissue shadow at the level of T8-T9. CT spine revealed thoracic paravertebral collection extending from T7 to T9 levels, suggest ive of tuberculous spondylitis with cold abscess. Patient refused a transpedicular biopsy and was started on anti-tubercular therapy. Two weeks after commencement of treatment, he developed worsening back pain and weakness of the lower extremities. MRI spine showed a paravertebral abscess and posterior soft tissue edema involving level of T7 to T11. Patient underwent a posterior decompression, debridement and posterior instrumentation. He was discharged well, there was improvement of his lower limb power. Upon clinic review, he complained of multiple hyperpigmented, painless, nonpruritic skin lesions over the trunk and back. No previous history of eczema, psoriasis and Tinea corporis. Given the history of allergy, initial impression was hypersensitivity reaction towards the titanium implants, and he was started on anti-histamines. However, there was no improvements seen. Histopathological examination of skin lesions revealed presence of granuloma within the dermis layer, composed of epitheloid, histiocytes, lymphocytes and plasma cells. Wade-Fite stain for Mycobacterium leprae is positive. Slit skin smear shows multibacillary leprosy. Patient was started on multidrug therapy (rifampicin, clofazimine and dapsone) for 1 year. He has recovered well.International Journal of Human and Health Sciences Supplementary Issue: 2019 Page: 33

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