Document Detail

Pyogenic vertebral osteomyelitis of the posterior elements.
MedLine Citation:
PMID:  9332515     Owner:  NLM     Status:  MEDLINE    
Lone pyogenic involvement of the posterior elements of the vertebrae is a rare event. We present two cases of isolated lumbar vertebral infection of the posterior elements and review 13 cases previously reported in the literature. Clinical presentation, laboratory and radiographic findings, microbiological etiology, and treatment were evaluated. Back pain, an elevated erythrocyte sedimentation rate, and computed tomography or magnetic resonance imaging were most useful in identifying the presence and extent of infection. Antibiotic therapy with or without surgical intervention was successful in all cases.
T J Babinchak; D K Riley; E B Rotheram
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  25     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-11-19     Completed Date:  1997-11-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  IM    
Division of Infectious Diseases, Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
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MeSH Terms
Bacterial Infections / diagnosis*
Blood Sedimentation
Cervical Vertebrae / microbiology
Gram-Positive Bacterial Infections / diagnosis
Klebsiella Infections / diagnosis
Leukocyte Count
Lumbar Vertebrae / microbiology*,  radiography
Magnetic Resonance Imaging
Middle Aged
Osteomyelitis / diagnosis*,  etiology,  microbiology*
Pneumococcal Infections / diagnosis
Pseudomonas Infections / diagnosis
Staphylococcal Infections / diagnosis

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