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Titolo:
Vertebral osteomyelitis in Goteborg, Sweden: A retrospective study of patients during 1990-95
Autore:
Beronius, M; Bergman, B; Andersson, R;
Indirizzi:
Sahlgrens Univ Hosp Ostra, Dept Infect Dis, Gothenburg, Sweden Sahlgrens Univ Hosp Ostra Gothenburg Sweden ect Dis, Gothenburg, Sweden Sahlgrens Univ Hosp Ostra, Dept Orthopaed Surg, Gothenburg, Sweden Sahlgrens Univ Hosp Ostra Gothenburg Sweden ed Surg, Gothenburg, Sweden
Titolo Testata:
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES
fascicolo: 7, volume: 33, anno: 2001,
pagine: 527 - 532
SICI:
0036-5548(2001)33:7<527:VOIGSA>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFECTIVE ENDOCARDITIS; SPINAL INFECTIONS; EPIDURAL ABSCESS; SPONDYLODISKITIS; SPONDYLITIS; FEATURES; DENMARK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Beronius, M Sahlgrens Univ Hosp Ostra, Dept Infect Dis, Gothenburg, SwedenSahlgrens Univ Hosp Ostra Gothenburg Sweden henburg, Sweden
Citazione:
M. Beronius et al., "Vertebral osteomyelitis in Goteborg, Sweden: A retrospective study of patients during 1990-95", SC J IN DIS, 33(7), 2001, pp. 527-532

Abstract

Vertebral osteomyelitis (VO) is a rare condition and the diagnosis is often overlooked initially. Delay in diagnosis may result in vertebral destruction or perforation of the spinal canal. We suggest diagnostic criteria in order to simplify the diagnosis and classification of VO. Medical records of58 patients with VO from Goteborg during the years 1990-95 were studied retrospectively. The incidence, clinical presentation, microbiology and treatment of VO were evaluated. The median age at the time of admission was 59 y(range 13-83 y) and the male:female ratio was 1.6:1. The incidence was 2.2/100,000 inhabitants/y. Sixty-four percent of the patients were natives of Sweden. The patients were classified as definite (67%), probable (26%) and possible (7%) VO. Staphylococcus aureus was the most common infective agent(34%), followed by Mycobacterium tuberculosis (27%). The most common risk factors included recent or current infections, immunosuppressive diseases and previous surgery. CRP and ESR were elevated in 82%, and 88%,, respectively and plain X-ray changes indicating VO were found in 56% of the patients. Radiological changes were found in 34/44 (77%) computerized tomography scans and 10/13 (77%.) magnetic resonance imaging examinations. The median duration of intravenous and oral antibiotic treatment were 10 and 179 d respectively. A delay of > 1 month from the onset of symptoms until diagnosis wasfound in 38% of the patients. This indicates the need for a standardized protocol for diagnosing VO. In this paper we suggest diagnostic criteria, which have not previously been available.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 10:36:08