scholarly journals Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

2020 ◽  
Vol 8 ◽  
pp. 2050313X2096901
Author(s):  
Yalda Toofan ◽  
Samiksha Tarun ◽  
Jonathan D Bender ◽  
Sarah A Auerbach ◽  
David A Stewart ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Bone Biopsy ◽  
Vertebral Osteomyelitis ◽  
The United States ◽  
Healthy Adolescent ◽  
Lower Back ◽  
Spinal Imaging ◽  
Food Borne ◽  
Traditional Risk Factors

We present a case of vertebral osteomyelitis in a previously healthy, adolescent Caucasian female athlete. After months of lower back pain, spinal imaging demonstrated phlegmon and suspected osteomyelitis of the L4 vertebral body. A bone biopsy was obtained, and microbiologic cultures yielded pure growth of Salmonella enterica subsp. enterica serovar Poona ( S. Poona), a member of the nontyphoid Salmonella group associated with food-borne gastroenteritis in the United States. This case represents the first reported association of S. Poona with osteomyelitis and is interesting in that the infection developed in a patient without traditional risk factors for invasive Salmonella disease (i.e. sickle cell disease). This case highlights the importance of keeping a broad differential diagnosis for lower back pain and emphasizes the value of obtaining specimens for microbiologic culture to aid in diagnosing non-traditional and potentially emerging bacterial pathogens.

scholarly journals Differences in Giving of Mc Kenzie Exercise and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain in GrandMed Hospital Lubuk Pakam

2018 ◽  
Vol 1 (1) ◽  
pp. 47-53
Author(s):  
Tati Murni Karokaro ◽  
Melisa Queen Hutabarat
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Functional Activity ◽  
Sampling Technique ◽  
The United States ◽  
The Body ◽  
Core Stability ◽  
P Value ◽  
Lower Back ◽  
One Year

In fulfillment of these needs sometimes human forget to maintain their health, good attitude so that the position in work is not ergonomic which can lead to problems when carrying out activities. Lower back pain is a clinical symptom that is characterized by pain or a discomfort feeling in lower back area. In the United States, the incidence of lower back pain region in the past one year is 15% -20%. This study aims to see whether there were differences in giving of Mc Kenzie and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain. This study is quasi experiment with a sample of patients with lower back pain, with purposive sampling technique. The results obtained are p-value ? <(0,000 <0,05), it means that there is a difference in giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain, that uses body movements that is directed to extension, to provide strengthening and reflecting on the extensor and flexor muscles of the lumbar joint, while the Core Stability Exercise has the ability to regulate the position and movement in the central region of the body, and it can be concluded that there is differences in Giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain. It is recommended for patients who experience lower back pain so that keep always repeat the exercises that suggested by physiotherapist, for further research so that choose more samples.

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.

Differences in the Surgical Treatment of Lower Back Pain Among Spine Surgeons in the United States

Spine ◽  
2016 ◽  
Vol 41 (11) ◽  
pp. 978-986 ◽  
Author(s):  
Daniel Lubelski ◽  
Seth K. Williams ◽  
Colin O’Rourke ◽  
Nancy A. Obuchowski ◽  
Jeffrey C. Wang ◽  
...  
Keyword(s):  
United States ◽  
Back Pain ◽  
Surgical Treatment ◽  
Lower Back Pain ◽  
The United States ◽  
Lower Back

scholarly journals Diabetic foot complicated by vertebral osteomyelitis and epidural abscess

2016 ◽  
Vol 2016 ◽  
Author(s):  
Alessandro Mantovani ◽  
Maddalena Trombetta ◽  
Chiara Imbriaco ◽  
Riccardo Rigolon ◽  
Lucia Mingolla ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Back Pain ◽  
Lower Back Pain ◽  
Diabetic Foot ◽  
Epidural Abscess ◽  
Vertebral Osteomyelitis ◽  
Lower Back ◽  
Focus Of Infection ◽  
Primary Focus

Summary Vertebral osteomyelitis (or spondylodiscitis) is steadily increasing in Western countries and often results from hematogenous seeding, direct inoculation during spinal surgery, or contiguous spread from an infection in the adjacent soft tissue. We present the case of a 67-year-old white patient with type 2 diabetes who went to Hospital for high fever, back pain, and worsening of known infected ulcers in the left foot. Despite intravenous antibiotic treatment and surgical debridement of the foot infection, high fever and lower back pain continued. Bone biopsy and two consecutive blood cultures were positive for Staphylococcus aureus. A spinal magnetic resonance imaging (MRI) was performed, revealing serious osteomyelitis in L4 and L5 complicated by an epidural abscess. Contiguous or other distant focuses of infection were not identified. In this case, diabetic foot could be considered as a primary distant focus for vertebral osteomyelitis. Clinicians should consider vertebral osteomyelitis as a ‘possible’ diagnosis in patients with type 2 diabetes complicated by foot infection that is associated with fever and lower back pain. Learning points Vertebral osteomyelitis is increasing in Western countries, especially in patients with type 2 diabetes. The primary focus of infection is the genitourinary tract followed by skin, soft tissue, endocarditis, bursitis, septic arthritis, and intravascular access. Diabetic foot could be a rare primary focus of infection for vertebral osteomyelitis, and, however, vertebral osteomyelitis could be a serious, albeit rare, complication of diabetic foot. Clinicians should keep in mind the many potential complications of diabetic foot ulcerations and consider vertebral osteomyelitis as a “possible” diagnosis in patients with type 2 diabetes and foot ulcers associated with nonspecific symptoms such as lower back pain. Early diagnosis and correct management of vertebral osteomyelitis are crucial to improve clinical outcomes.

Acute Lower Back Pain

2015 ◽  
Author(s):  
John W. Martel ◽  
Caitlin Hynes
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Nerve Root ◽  
Epidural Abscess ◽  
The United States ◽  
Magnetic Resonance Images ◽  
Disk Herniation ◽  
Lower Back ◽  
Acute Back Pain ◽  
Acute Lower Back Pain

Lower back pain is common, with up to 8% of the adult population in the United States reporting at least one episode of acute back pain within the last year. This is associated with considerable burden to the health care system. The majority of patients who experience back pain have no clear etiology for their symptoms; although symptoms tend to improve within 4 to 6 weeks, they also tend to recur. This review covers the pathophysiology, diagnosis and treatment, and disposition and outcomes of acute lower back pain. Figures show magnetic resonance images of L4/L5 disk herniation, spinal neoplasm, and epidural abscess; schematics of cauda equina syndrome associated with central disk herniation and disk herniation causing unilateral radicular symptoms due to nerve root compression; and dermatomal symptoms associated with L4-S1 nerve root compromise. Tables list red flag signs and symptoms of acute back pain, emergent causes of acute back pain, Waddell signs suggestive of nonorganic back pain, neurologic examination findings associated with L1-S1 nerve roots, pros and cons of treatment options for musculoskeletal and radicular back pain, and indications for surgery for patients with spinal epidural abscess and vertebral osteomyelitis. This review contains 5 highly rendered figures, 6 tables, and 98 references.

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