A Detailed Analysis of Clinical Features and Outcomes of Patients with Pyogenic Spondylodiscitis Presenting without Axial Back Pain.

classifications of spinal infections microbiology of spinal infections pyogenic spondylodiscitis spinal infections surgical treatment of pyogenic spondylodiscitis

Journal

Tropical medicine and infectious disease
ISSN: 2414-6366
Titre abrégé: Trop Med Infect Dis
Pays: Switzerland
ID NLM: 101709042

Informations de publication

Date de publication:
20 Apr 2021
Historique:
received: 27 03 2021
revised: 14 04 2021
accepted: 18 04 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

Retrospective analysis of a single institution prospective, longitudinal database of spinal pyogenic infections. Diagnosis of pyogenic spondylodiscitis (PS) can be challenging. Although presenting symptoms are often non-specific, acute non-remitting axial back pain is the most striking feature. Nevertheless, several authors have reported on the uncommon occurrence of patients with PS without axial back pain. The aim of this study was to characterize presenting symptoms, causative agents, comorbidities, and treatment outcomes of patients presenting with painless pyogenic spondylodiscitis. A total of 214 patients diagnosed with PS were reviewed; patients were divided into two groups: patients presenting with no axial back pain (

Identifiants

pubmed: 33923885
pii: tropicalmed6020054
doi: 10.3390/tropicalmed6020054
pmc: PMC8167652
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Semin Arthritis Rheum. 2005 Apr;34(5):766-71
pubmed: 15846593
J Infect. 2014 Apr;68(4):313-20
pubmed: 24296494
Eur Spine J. 2016 Apr;25(4):983-99
pubmed: 26585975
Clin Infect Dis. 2002 May 15;34(10):1342-50
pubmed: 11981730
Spine (Phila Pa 1976). 2012 Apr 15;37(8):685-92
pubmed: 22037525
Clin Infect Dis. 2015 Sep 15;61(6):e26-46
pubmed: 26229122
Orthop Rev (Pavia). 2020 Jun 25;12(Suppl 1):8674
pubmed: 32913605
Eur Spine J. 2017 Oct;26(Suppl 4):479-488
pubmed: 28324216
Eur Rev Med Pharmacol Sci. 2012 Apr;16 Suppl 2:2-7
pubmed: 22655478
Semin Arthritis Rheum. 2009 Aug;39(1):10-7
pubmed: 18550153
Lancet. 2015 Mar 7;385(9971):875-82
pubmed: 25468170
Eur Spine J. 2018 Jun;27(Suppl 2):229-236
pubmed: 29667140
Int J Antimicrob Agents. 2019 Aug;54(2):125-133
pubmed: 31202920
Epidemiol Infect. 2008 May;136(5):653-60
pubmed: 17568478
Infection. 2010 Apr;38(2):102-7
pubmed: 20191397
N Engl J Med. 2010 Mar 18;362(11):1022-9
pubmed: 20237348
Br Med Bull. 2016 Mar;117(1):121-38
pubmed: 26872859
J Pathol. 2002 Jul;197(3):286-92
pubmed: 12115873

Auteurs

Luigi Aurelio Nasto (LA)

Department of Paediatric Orthopaedics, IRCCS Istituto "G. Gaslini", via G. Gaslini 5, 16147 Genoa, Italy.

Massimo Fantoni (M)

Department of Infectious Disease, "A. Gemelli" University Hospital, Università Cattolica del Sacro Cuore di Roma, l.go A. Gemelli 1, 00168 Rome, Italy.

Valerio Cipolloni (V)

Department of Trauma and Orthopaedics, "A. Gemelli" University Hospital, Università Cattolica del Sacro Cuore di Roma, l.go A. Gemelli 1, 00168 Rome, Italy.

Luca Piccone (L)

Department of Trauma and Orthopaedics, "A. Gemelli" University Hospital, Università Cattolica del Sacro Cuore di Roma, l.go A. Gemelli 1, 00168 Rome, Italy.

Enrico Pola (E)

Department of Trauma and Orthopaedics, "A. Gemelli" University Hospital, Università Cattolica del Sacro Cuore di Roma, l.go A. Gemelli 1, 00168 Rome, Italy.
Department of Orthopaedics, A.O.U. "Vanvitelli" University Hospital, "Luigi Vanvitelli" University, Via del Sole 10, 80138 Naples, Italy.

Alfredo Schiavone Panni (A)

Department of Orthopaedics, A.O.U. "Vanvitelli" University Hospital, "Luigi Vanvitelli" University, Via del Sole 10, 80138 Naples, Italy.

Classifications MeSH