| Nocardia farcinica spinal osteomyelitis. | |
| | |
MedLine Citation:
|
PMID: 12004185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY DESIGN: A case of disseminated Nocardia farcinica infection with spine involvement is reported. OBJECTIVE: To describe the first case of Nocardia farcinica spinal osteomyelitis, and to propose spine instrumentation with debridement and multiple antibiotics for treatment of nocardia spinal osteomyelitis. SUMMARY OF BACKGROUND DATA: Only 11 cases involving Nocardia asteroides spinal osteomyelitis have been reported over the past 40 years. These case reports describe various presentations and treatments of nocardia spinal osteomyelitis. METHODS: A 54-year-old nonambulant, paraparetic man was admitted to the authors' hospital with acutely increased low back pain, fever, and signs of dementia. A disseminated Nocardia farcinica infection including spinal osteomyelitis at T11, T12, L1, L2, and L4; epidural abscess T10-L4, L5-S1 discitis, empyemas, cerebral abscess, and bilateral psoas abscess was noted. RESULTS: Antibiotic therapy, multiple debridements, and posterior instrumentation were performed to palliate the Nocardia farcinica infection. At a recent 3-year follow-up assessment, the patient was independent and ambulant. He had been off antibiotics for 5 months. CONCLUSIONS: Previous case reports of nocardia spinal osteomyelitis describe treatment with antibiotics, debridements, and arthrodesis with autologous bone graft. Prolonged recumbency ensued. In the reported case, a combination of antibiotics, debridements, arthrodesis, and posterior instrumentation for immediate stabilization of the spine resulted in a favorable outcome at 3 years. |
| | |
Authors:
|
Harm C A Graat; André Van Ooij; Gregory A Day; I Bruce McPhee |
Related Documents
:
|
20422685 - Sternoclavicular joint osteomyelitis following head and neck surgery. 9050105 - Maxillary osteomyelitis secondary to osteopetrosis. 16226995 - Primary sternal osteomyelitis: a case series and review of the literature. 21603675 - Paracetamol overdose presenting with hyperglycaemia, acidosis and ketonuria in a non-di... 22090575 - C-a3-02: identification of extreme weight gain among users of atypical antipsychotic me... 20379475 - Sudden migration of a thalamic hemorrhage into the ventricles. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Spine Volume: 27 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2002 May |
Date Detail:
|
Created Date: 2002-05-10 Completed Date: 2002-05-28 Revised Date: 2009-07-09 |
Medline Journal Info:
|
Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
|
Languages: eng Pagination: E253-7 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, University Hospital Maastricht, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Epidural Abscess
/
microbiology,
surgery Humans Male Middle Aged Nocardia / isolation & purification Nocardia Infections / microbiology*, pathology Osteomyelitis / microbiology*, pathology, surgery Spinal Diseases / microbiology*, pathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hemivertebra resection by a posterior approach: innovative operative technique and first results.
Next Document: The benefit of neurogenic mixed evoked potentials for intraoperative spinal cord monitoring during c...