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Severe Vertebral Osteomyelitis in Patients With Spinal Cord Injury

Severe Vertebral Osteomyelitis in Patients With Spinal Cord Injury Abstract Four patients with spinal cord injury (SCI) experienced severe and unusual clinical manifestations of vertebral osteomyelitis. The main feature of the illness was the development of extensive disease below the level of the SCI. Large paravertebral abscesses pointing to the skin developed in three patients. The fourth patient was seen initially with a persistent draining sinus on a previous nephrectomy incision site before the condition was diagnosed. All four patients underwent surgical debridement of infected bone together with antibiotic therapy. Vertebral osteomyelitis should be considered in patients with SCI and sepsis of uncertain origin. (Arch Intern Med 1982;142:807-808) References 1. Kulowski J: Pyogenic osteomyelitis of the spine: Analysis and discussion of 102 cases. J Bone Joint Surg Am 1936;18:343-364. 2. Sapico FL, Montgomerie JZ: Pyogenic vertebral osteomyelitis: Report of nine cases and review of the literature. Rev Infect Dis 1979;1:754-776.Crossref 3. Stone DB, Bonfiglio M: Pyogenic vertebral osteomyelitis: A diagnostic pitfall for the internist. Arch Intern Med 1963;112:491-500.Crossref 4. Ambrose BG, Alpert MD, Neer CS: Vertebral osteomyelitis: A diagnostic problem. JAMA 1966;197:101-104.Crossref 5. Musher DM, Thorsteinsson SB, Minuth JN, et al: Vertebral osteomyelitis: Still a diagnostic pitfall. Arch Intern Med 1976;136:105-110.Crossref 6. Jordan C, Kirby WMM: Pyogenic vertebral osteomyelitis: Treatment with antimicrobial agents and bed rest. Arch Intern Med 1971;128:405-410.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Severe Vertebral Osteomyelitis in Patients With Spinal Cord Injury

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340170167025
Publisher site
See Article on Publisher Site

Abstract

Abstract Four patients with spinal cord injury (SCI) experienced severe and unusual clinical manifestations of vertebral osteomyelitis. The main feature of the illness was the development of extensive disease below the level of the SCI. Large paravertebral abscesses pointing to the skin developed in three patients. The fourth patient was seen initially with a persistent draining sinus on a previous nephrectomy incision site before the condition was diagnosed. All four patients underwent surgical debridement of infected bone together with antibiotic therapy. Vertebral osteomyelitis should be considered in patients with SCI and sepsis of uncertain origin. (Arch Intern Med 1982;142:807-808) References 1. Kulowski J: Pyogenic osteomyelitis of the spine: Analysis and discussion of 102 cases. J Bone Joint Surg Am 1936;18:343-364. 2. Sapico FL, Montgomerie JZ: Pyogenic vertebral osteomyelitis: Report of nine cases and review of the literature. Rev Infect Dis 1979;1:754-776.Crossref 3. Stone DB, Bonfiglio M: Pyogenic vertebral osteomyelitis: A diagnostic pitfall for the internist. Arch Intern Med 1963;112:491-500.Crossref 4. Ambrose BG, Alpert MD, Neer CS: Vertebral osteomyelitis: A diagnostic problem. JAMA 1966;197:101-104.Crossref 5. Musher DM, Thorsteinsson SB, Minuth JN, et al: Vertebral osteomyelitis: Still a diagnostic pitfall. Arch Intern Med 1976;136:105-110.Crossref 6. Jordan C, Kirby WMM: Pyogenic vertebral osteomyelitis: Treatment with antimicrobial agents and bed rest. Arch Intern Med 1971;128:405-410.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Apr 1, 1982

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