scholarly journals A Rare Case of Granulicatella adiacens Vertebral Osteomyelitis

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
E. van der Palen ◽  
C. L. M. de Roij van Zuijdewijn ◽  
D. A. R. Castelijn ◽  
G. H. Wattel-Louis ◽  
J. Kalpoe
Keyword(s):  
Back Pain ◽  
Rare Case ◽  
Vertebral Osteomyelitis ◽  
Hematogenous Spread ◽  
Granulicatella Adiacens

Vertebral osteomyelitis caused by Granulicatella adiacens is rarely described. We report a 45-year-old immunocompetent male with back pain caused by G. adiacens osteomyelitis. This case is remarkable due to the absence of endocarditis. A clinician should therefore consider G. adiacens osteomyelitis even in the absence of concurrent hematogenous spread.

Back pain in a locally advanced pNET with hepatic metastases – a rare case with an unusual secondary diagnosis

2019 ◽  
Author(s):  
V Kröpfl ◽  
F Primavesi ◽  
S Buxbaum ◽  
B Nilica ◽  
I Virgolini ◽  
...  
Keyword(s):  
Back Pain ◽  
Rare Case ◽  
Locally Advanced ◽  
Hepatic Metastases ◽  
Secondary Diagnosis

scholarly journals Back Pain in a 23-Year-Old Male With X-Linked Chronic Granulomatous Disease

2019 ◽  
Vol 6 (11) ◽  
Author(s):  
Michelle C Sabo ◽  
Michela Blain ◽  
Denise McCulloch ◽  
Heather L Glasgow ◽  
Dhruba J Sengupta ◽  
...  
Keyword(s):  
Back Pain ◽  
Invasive Aspergillosis ◽  
Chronic Granulomatous Disease ◽  
Vertebral Osteomyelitis ◽  
Aspergillus Species ◽  
Granulomatous Disease ◽  
First Case ◽  
Increased Risk

Abstract Patients with chronic granulomatous disease are at increased risk for invasive aspergillosis. Cryptic Aspergillus species are being increasingly recognized as distinct causes of infection in this population. In this study, we describe the first case of Aspergillus udagawae vertebral osteomyelitis in a patient with X-linked chronic granulomatous disease.

1775: A RARE CASE OF PNEUMOCOCCAL MENINGITIS AND VERTEBRAL OSTEOMYELITIS

2016 ◽  
Vol 44 (12) ◽  
pp. 519-519
Author(s):  
Arber Kodra ◽  
David Wisa ◽  
Jay Wong
Keyword(s):  
Rare Case ◽  
Pneumococcal Meningitis ◽  
Vertebral Osteomyelitis

scholarly journals A rare case of adenomatoid tumour presented as back pain: case report and brief review of the literature

2018 ◽  
Vol 6 (3) ◽  
Author(s):  
Charalampos Massouras ◽  
Andromachi Vryonidou ◽  
George Sakorafas ◽  
Sofia Simopoulou ◽  
Nicholaos Barouchos ◽  
...  
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Rare Case ◽  
Review Of The Literature ◽  
Adenomatoid Tumour

scholarly journals A Rare Case of Vertebral Osteomyelitis and Bilateral Psoas Abscess From an Unknown Source

2020 ◽  
Vol 11 (11) ◽  
pp. 345-347
Author(s):  
Henrik Ghantarchyan ◽  
Simi Philip ◽  
Kathleen Dunn ◽  
Jin S. Suh
Keyword(s):  
Rare Case ◽  
Psoas Abscess ◽  
Vertebral Osteomyelitis ◽  
Unknown Source

scholarly journals Clinical and Radiological Analysis of Pyogenic Vertebral Osteomyelitis Immediately after Successful Antimicrobial Therapy: Considerations for Assessing Therapeutic Response

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 861
Author(s):  
Ikchan Jeon ◽  
Eunjung Kong ◽  
Dongwoo Yu ◽  
Cheol Pyo Hong
Keyword(s):  
Back Pain ◽  
Clinical Features ◽  
Vertebral Body ◽  
Antimicrobial Therapy ◽  
Fdg Pet ◽  
Therapeutic Response ◽  
Vertebral Osteomyelitis ◽  
Paravertebral Muscle ◽  
Radiological Features ◽  
Pyogenic Vertebral Osteomyelitis

Purpose: The clinical and radiological abnormal findings continue even after successful treatment in pyogenic vertebral osteomyelitis (PVO). We analyzed the clinical and radiological features of cured PVO based on 18F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging (FDG-PET/MRI) and compared the radiological differences between FDG-PET and MRI for assessing therapeutic response in PVO. Methods: This study included 43 patients (28 men and 15 women) with lumbar PVO who had no recurrence after successful antimicrobial therapy. They were divided into two groups based on the location of maximum standardized FDG uptake value (SUVmax) of PVO lesion on FDG-PET/MRI when parenteral antibiotics were discontinued (31 in group A: Intervertebral structure; 12 in group B: Vertebral body and paravertebral muscle). The differences of clinical symptoms, hematological inflammatory indices, and radiological features were retrospectively analyzed. Results: The patients were treated with 42.28 ± 14.58 (21–89) days of parenteral antibiotics. There were significant differences in C-reactive protein (0.97 ± 1.10 vs. 0.51 ± 0.31 mg/dL, p = 0.041; normal range of CRP < 0.5), back pain (4.29 ± 1.13 vs. 3.50 ± 1.00, p = 0.040; visual analog scale), and SUVmax (4.34 ± 1.24 vs. 5.89 ± 1.57, p < 0.001) between the two groups. In the distribution pattern of PVO lesions, FDG-PET overall showed recovery pattern earlier than MRI did (p < 0.001). Conclusions: In cured PVO, the clinical features vary depending on the location of major structural damage of PVO lesion. The involvement of intervertebral structure is related with sustained back pain and elevation of CRP, and vertebral body/paravertebral muscle shows favorable clinical features despite advanced structural damages.

scholarly journals Vertebral osteomyelitis in an adolescent girl

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094978
Author(s):  
Shafee Salloum
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Blood Culture ◽  
Early Diagnosis ◽  
Lower Back Pain ◽  
Bacterial Growth ◽  
Adolescent Girl ◽  
Surgical Intervention ◽  
Vertebral Osteomyelitis ◽  
Lower Back

We present a case of a 13-year-old girl with vertebral osteomyelitis. She had been experiencing lower back pain for 5 weeks, initially thought to be due to muscular causes. The blood culture showed no bacterial growth, and she was treated empirically only with antibiotics. She responded well to treatment and required no surgical intervention. Vertebral osteomyelitis should be in the differential diagnosis in an adolescent who complains of worsening lower back pain. Early diagnosis and treatment are essential in avoiding complications.

scholarly journals Antimicrobial therapy and assessing therapeutic response in culture-negative pyogenic vertebral osteomyelitis: a retrospective comparative study with culture-positive pyogenic vertebral osteomyelitis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dongwoo Yu ◽  
Sang Woo Kim ◽  
Ikchan Jeon
Keyword(s):  
Back Pain ◽  
Therapeutic Response ◽  
Epidural Abscess ◽  
Vertebral Osteomyelitis ◽  
Bacterial Identification ◽  
Oral Antibiotics ◽  
Normal Range ◽  
Pyogenic Vertebral Osteomyelitis ◽  
Culture Positive ◽  
Culture Negative

Abstract Background There are still controversies regarding the treatment and outcomes in culture-negative pyogenic vertebral osteomyelitis (PVO). The purpose of this study is to investigate the antimicrobial therapy, assessment of therapeutic response, and outcome of culture-negative PVO compared to culture-positive PVO. Methods A retrospective study was performed with non-surgical lumbar PVO patients. The patients were divided into two groups based on the causative bacterial identification (CN group with culture-negative PVO and CP group with culture-positive PVO). The clinical features, use of antibiotics, laboratory data, and outcomes were compared between the two groups. Results Seventy-three patients with 41 (56.2%) of the CN group and 32 (43.8%) of the CP group were enrolled. The CN group showed a shorter duration of parenteral antibiotics (45.88 ± 16.14 vs. 57.31 ± 24.39, p = 0.019) but a tendency of prolonged duration of total (parenteral + oral) antibiotics (101.17 ± 52.84 vs. 84.19 ± 50.29 days, p = 0.168). When parenteral antibiotics were discontinued or switched to oral antibiotics, the mean erythrocyte segmentation rate (ESR, normal range: < 25 mm/h), C-reactive protein (CRP, normal range: < 0.5 mg/dL) level, and visual analog scale (VAS) score of back pain were 42.86 ± 24.05 mm/h, 0.91 ± 1.18 mg/dL, and 4.05 ± 1.07, respectively, with no significant differences between the two groups. The recurrence rates of CN and CP groups were 7.3% (3/41) and 6.3% (2/32), respectively (p = 1.000). The presence of epidural abscess was the most significant factor for the identification of causative bacteria (p = 0.002), and there was no significant relationship between the use of empirical antibiotics before tissue culture and the causative bacterial identification (p = 0.194). Conclusions The CN group required a shorter duration of parenteral antibiotics than the CP group. Discontinuation of parenteral antibiotics or changing the administration route can be considered based on the values of ESR, CRP, and VAS score of back pain. The presence of epidural abscess was the most significant factor for the identification of causative bacteria.

scholarly journals A rare case of Ganglioneuroblastoma Encapsulated in Pheochromocytoma

2016 ◽  
Vol 59 (2) ◽  
pp. 67-69
Author(s):  
Nathália Vieira Sousa ◽  
Luísa Coelho Marques de Oliveira ◽  
Paulo José Oliveira Cortez ◽  
Vitor Engrácia Valenti ◽  
David Mathew Garner ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Low Back Pain ◽  
Back Pain ◽  
Rare Case ◽  
Pathological Examination ◽  
Low Back ◽  
Tumor Excision ◽  
Rare Association ◽  
Immunohistochemistry Analysis ◽  
Small Focus

Pheochromocytoma and Ganglioneuroblastoma are separate diseases and a rare combination in which the diagnosis can only be confirmed by pathological examination after tumor excision. We reported here a case of ganglioneuroblastoma encapsulated in pheochromocytoma. The patient is a woman, 73 years old, hypertensive, with hypothyroidism, associated for 15 years with hypercholesterolemia and hypertriglyceridemia, which had frequent complaints of low back pain. She underwent magnetic resonance and the findings were consistent with the diagnosis of pheochromocytoma. After surgery, anatomic, pathologic and immunohistochemistry analysis confirmed the diagnosis of pheochromocytoma composed by small ganglioneuroblastoma representation with the identification of small focus of infiltration of the adrenal capsule and adipose tissue by pheochromocytoma. This rare association can instigate the discussion of methods of diagnosis, more effective and more appropriate treatments for each patient.

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