Document Detail

Septic necrosis of the odontoid apophysis and cervical spondylodiscitis from Enterococcus faecalis endocarditis: a first report.
MedLine Citation:
PMID:  18430651     Owner:  NLM     Status:  MEDLINE    
We describe a 75-year-old male patient who developed a general syndrome, with a fever of 39 degrees C, weight loss, and cervical pain, during the month following a urological procedure. The presence of positive blood cultures for Enterococcus faecalis, aortic vegetations, and severe aortic regurgitation observed with echocardiogram confirmed the diagnosis of infective endocarditis (IE). Magnetic resonance imaging of the spinal cord showed significant erosion and irregularities of the odontoid apophysis, with hyperintensity of bone marrow in T2-weighted images because of edema and inflammation. These findings suggested an infective necrosis of the odontoid apophysis. Despite the common occurrence of rheumatologic manifestations in IE, with prevalence rates of 25% to 44%, spondylodiscitis is rarely observed (5%-13%). The lumbar region is the most commonly involved. We found only one other reported case of cervical spondylodiscitis. The case we describe is the first report of septic necrosis of the odontoid apophysis associated with IE.
Victor Mosquera; Vicente Campos; Jose Vicente Valle; Alberto Juffé
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  11     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-23     Completed Date:  2009-04-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E108-9     Citation Subset:  IM    
Servicio de Cirugía Cardiaca, Hospital Juan Canalejo, A Coruña, Spain.
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MeSH Terms
Cervical Vertebrae / pathology,  surgery
Discitis / pathology*,  surgery*
Endocarditis, Bacterial / pathology*,  surgery*
Enterococcus faecalis*
Gram-Positive Bacterial Infections / pathology*,  surgery*
Odontoid Process / pathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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