Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine

Spondylodiscitis is an uncommon infectious disease of the spine, usually presenting in 1 or 2 contiguous levels, associated with risk factors such as diabetes, intravenous drugs, corticosteroids, and invasive procedures. The most common presentation is pain with nonspecific systemic manifestations....

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Main Authors: Fernando González González, Arturo Aguirre Madrid, Dizán Mendoza Pedroza, Abelardo Loya Solis, Fernando Hernández Aragon, Nadia Karina Portillo Ortiz, Edmundo Berumen Nafarrate
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2022/2091676
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author Fernando González González
Arturo Aguirre Madrid
Dizán Mendoza Pedroza
Abelardo Loya Solis
Fernando Hernández Aragon
Nadia Karina Portillo Ortiz
Edmundo Berumen Nafarrate
author_facet Fernando González González
Arturo Aguirre Madrid
Dizán Mendoza Pedroza
Abelardo Loya Solis
Fernando Hernández Aragon
Nadia Karina Portillo Ortiz
Edmundo Berumen Nafarrate
author_sort Fernando González González
collection DOAJ
description Spondylodiscitis is an uncommon infectious disease of the spine, usually presenting in 1 or 2 contiguous levels, associated with risk factors such as diabetes, intravenous drugs, corticosteroids, and invasive procedures. The most common presentation is pain with nonspecific systemic manifestations. Diagnosis relies on clinical suspicion, laboratories, and imaging studies. Urgent treatment is important due to the high morbid mortality associated with sepsis or a fulminant disease course. We report the case of a 39-year-old female diagnosed with noncontiguous multifocal spondylodiscitis, in the cervical, thoracic, and lumbar spine. The patient initially presented with back pain, inability to walk and severe neurological deficit in the upper and lower extremities, upon diagnosis broad-spectrum antibiotics were initiated. A staged surgical approach was performed in the 3 spine segments. During the 6 month follow-up, the patient presented walking with assistance, with the recovery of strength in the upper and lower extremities.
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spelling doaj-art-b5c3001cbe274a75bd49396d004ce0892025-02-03T06:13:32ZengWileyCase Reports in Orthopedics2090-67572022-01-01202210.1155/2022/2091676Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the SpineFernando González González0Arturo Aguirre Madrid1Dizán Mendoza Pedroza2Abelardo Loya Solis3Fernando Hernández Aragon4Nadia Karina Portillo Ortiz5Edmundo Berumen Nafarrate6Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Radiology and ImagingDepartment of Pathological AnatomyDepartment of Orthopedic SurgeryFaculty of Medicine and Biomedical SciencesDepartment of Orthopedic SurgerySpondylodiscitis is an uncommon infectious disease of the spine, usually presenting in 1 or 2 contiguous levels, associated with risk factors such as diabetes, intravenous drugs, corticosteroids, and invasive procedures. The most common presentation is pain with nonspecific systemic manifestations. Diagnosis relies on clinical suspicion, laboratories, and imaging studies. Urgent treatment is important due to the high morbid mortality associated with sepsis or a fulminant disease course. We report the case of a 39-year-old female diagnosed with noncontiguous multifocal spondylodiscitis, in the cervical, thoracic, and lumbar spine. The patient initially presented with back pain, inability to walk and severe neurological deficit in the upper and lower extremities, upon diagnosis broad-spectrum antibiotics were initiated. A staged surgical approach was performed in the 3 spine segments. During the 6 month follow-up, the patient presented walking with assistance, with the recovery of strength in the upper and lower extremities.http://dx.doi.org/10.1155/2022/2091676
spellingShingle Fernando González González
Arturo Aguirre Madrid
Dizán Mendoza Pedroza
Abelardo Loya Solis
Fernando Hernández Aragon
Nadia Karina Portillo Ortiz
Edmundo Berumen Nafarrate
Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
Case Reports in Orthopedics
title Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
title_full Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
title_fullStr Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
title_full_unstemmed Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
title_short Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine
title_sort noncontiguous multifocal spondylodiscitis in 3 regions of the spine
url http://dx.doi.org/10.1155/2022/2091676
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