Presentation
Eventually the pain became so severe that he presented to the emergency room two months after undergoing the LP. On presentation he had a leukocytosis (white blood count 20.7) and mildly elevated erythrocyte sedimentation rate (37). [n.neurology.org]
This comparative study suggests that age and clinical presentation distinguish most patients with discitis from those with vertebral osteomyelitis. [pediatrics.aappublications.org]
Seventeen patients presented two comorbidities and one patient had three comorbidities. [ncbi.nlm.nih.gov]
This kind of spondylodiscitis is most common in patients aged between 30 to 40 years. [6] Characteristics/Clinical Presentation The symptoms are non-specific, diffuse [2] and treacherous [10]. [physio-pedia.com]
[…] abdominosacrocolpopexy. ( 25117721 ) Tymchak ZA...Fourney DR 2015 39 Postoperative initial single fungal discitis progressively spreading to adjacent multiple segments after lumbar discectomy. ( 25436471 ) Zou MX...Wang B 2015 40 Peptostreptococcus endocarditis presenting [malacards.org]
Entire Body System
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Collapse
Because of the erosion of the vertebral end plates, the vertebra can collapse. [8] [9] Tuberculous spondylodiscitis is also identified by the loss of the anterior subchondral part of the vertebral body. [physio-pedia.com]
Musculoskeletal
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Neck Pain
In post-operative situations, the symptoms occur within a week and result in severe low back pain or neck pain (depending on the surgical location). [en.wikipedia.org]
Back or neck pain [1] [10] Constant pain, more worse at night [2] [6] [11] Radicular pain radiating to the chest or abdomen Fever (less common in patients with tuberculous spondylodiscitis, 1/2 of the cases) [1] [10] [4] Spinal deformities, predominantly [physio-pedia.com]
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Torticollis
Cervical spondylodiscitis may manifest with dysphagia or torticollis. [10] Spontaneous pyogenic spondylodiscitis usually spreads hematogenously from infections of the skin, subcutaneous tissues, and urinary tract. [5] Differential Diagnosis Differential [physio-pedia.com]
Workup
Microbiology
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Staphylococcus Aureus
Such infections are most commonly caused by staphylococcus aureus, E.coli, and Proteus bacterial species. [docdoc.com.sg]
Increasing frequency of vertebral osteomyelitis following Staphylococcus aureus bacteraemia in Denmark 1980–1990. J Infect. 1997; 34 :113–118. doi: 10.1016/S0163-4453(97)92395-1. [ PubMed ] [ CrossRef ] [ Google Scholar ] 5. [ncbi.nlm.nih.gov]
aureus. ( 27918144 ) Bostian PA...Emery SE 2017 16 The role of minimally invasive spine surgery in the management of pyogenic spinal discitis. ( 28250635 ) Turel MK...Deutsch H 2017 17 [Retropharyngeal abscess with cervical discitis and vertebral osteomyelitis [malacards.org]
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Clostridium Perfringens
perfringens bacteraemia. ( 28747416 ) Yong CH...Lam M 2017 19 Presence of Modic type 1 change increases risk of postoperative pyogenic discitis following decompression surgery for lumbar canal stenosis. ( 28802716 ) Ninomiya K...Ishii K 2017 20 Yield [malacards.org]
Treatment
Patients who undergo antibiotic therapy for discitis often require a standard treatment period of 6 to 8 weeks. [docdoc.com.sg]
Treatment [ edit ] Treatment usually includes antibiotics, and reducing the mobility of the affected region, either with a back brace or a plaster cast. Without treatment, the patient may form an abscess which may need to be surgically corrected. [en.wikipedia.org]
Surgical treatment is superior to conservative treatment in a short time, while conservative treatment can achieve long-term satisfactory curative effects. [physio-pedia.com]
Fusion to Manage Postdiscectomy Discitis in Lumbar Spine. ( 30308339 ) Chang CW...Chen WJ 2019 3 Community acquired Stenotrophomonas maltophilia discitis: Diagnosis aided by shotgun metagenomic sequencing. ( 30684744 ) Wang G...Yang S 2019 4 Endoscopic Treatment [malacards.org]
Eight patients of those 30 patients with a history of spine surgery required further surgical treatment (26.67%). [ncbi.nlm.nih.gov]
Prognosis
The prognosis for patients suffering from discitis is heavily influenced by how early the condition is diagnosed and treated. [docdoc.com.sg]
Prognosis seems to be good with conservative treatment including NSAID’S, physiotherapy (exercises), and a corset. Extension:RSS -- Error: Not a valid URL: Feed goes here!! [physio-pedia.com]
Etiology
Etiology and ecology. Arch Intern Med. 1962; 110 :847–855. doi: 10.1001/archinte.1962.03620240029006. [ CrossRef ] [ Google Scholar ] 2. McHenry MC, Easley KA, Locker GA. [ncbi.nlm.nih.gov]
The difference between the two types, is that the intervertebral disc and the joint space are preserved longer in the tuberculous spondylodiscitis. [8] Epidemiology /Etiology According to scarce researches, the incidence of spondylodiscitis is 2.4/100,000 [physio-pedia.com]
Epidemiology
Search Strategy Keywords : Spondylodiscitis Diagnosis / Therapy / Epidemiology / Rehabilitation / Rehabilitation / Examination / Symptoms / Characteristics / Clinical Search engines : Pubmed Web of knowledge PEDro Definition/Description Spondylodiscitis [physio-pedia.com]
Introduction and epidemiology The optimal management of pyogenic discitis is not agreed on. Little is known about the risk factors, clinical features, diagnosis, optimal treatment, or management outcomes of adults with spontaneous discitis. [ncbi.nlm.nih.gov]
Pathophysiology
Intervertebral Disc: Anatomy-Physiology-Pathophysiology-Treatment, Department of Anesthesiology and Pain Management, World Institute of Pain, 2008 (level of evidence 2A) 10.00 10.01 10.02 10.03 10.04 10.05 10.06 10.07 10.08 10.09 10.10 10.11 10.12 [physio-pedia.com]
Prevention
This is why patients with discitis should be treated immediately to prevent serious complications. Causes of Condition Discitis cases are classified as either spontaneous or post-operative. [docdoc.com.sg]
Keeping the hamstrings flexible is important for pain control as well as in prevention of spinal pain flare-ups. [physio-pedia.com]