Diabetic foot complicated by vertebral osteomyelitis and epidural abscess
Vertebral osteomyelitis (or spondylodiscitis) is steadily increasing in Western countries and often results from hematogenous seeding, direct inoculation during spinal surgery, or contiguous spread from an infection in the adjacent soft tissue. We present the case of a 67-year-old white patient with...
Ausführliche Beschreibung
Autor*in: |
Alessandro Mantovani [verfasserIn] Maddalena Trombetta [verfasserIn] Chiara Imbriaco [verfasserIn] Riccardo Rigolon [verfasserIn] Lucia Mingolla [verfasserIn] Federica Zamboni [verfasserIn] Francesca Dal Molin [verfasserIn] Dario Cioccoloni [verfasserIn] Viola Sanga [verfasserIn] Massimiliano Bruti [verfasserIn] Enrico Brocco [verfasserIn] Michela Conti [verfasserIn] Giorgio Ravenna [verfasserIn] Fabrizia Perrone [verfasserIn] Vincenzo Stoico [verfasserIn] Enzo Bonora [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2016 |
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Übergeordnetes Werk: |
In: Endocrinology, Diabetes & Metabolism Case Reports - Bioscientifica, 2014, (2016), Seite 4 |
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Übergeordnetes Werk: |
year:2016 ; pages:4 |
Links: |
Link aufrufen |
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DOI / URN: |
10.1530/EDM-15-0132 |
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Katalog-ID: |
DOAJ05687734X |
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Alessandro Mantovani @@aut@@ Maddalena Trombetta @@aut@@ Chiara Imbriaco @@aut@@ Riccardo Rigolon @@aut@@ Lucia Mingolla @@aut@@ Federica Zamboni @@aut@@ Francesca Dal Molin @@aut@@ Dario Cioccoloni @@aut@@ Viola Sanga @@aut@@ Massimiliano Bruti @@aut@@ Enrico Brocco @@aut@@ Michela Conti @@aut@@ Giorgio Ravenna @@aut@@ Fabrizia Perrone @@aut@@ Vincenzo Stoico @@aut@@ Enzo Bonora @@aut@@ |
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2016-01-01T00:00:00Z |
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Diabetic foot complicated by vertebral osteomyelitis and epidural abscess |
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Vertebral osteomyelitis (or spondylodiscitis) is steadily increasing in Western countries and often results from hematogenous seeding, direct inoculation during spinal surgery, or contiguous spread from an infection in the adjacent soft tissue. We present the case of a 67-year-old white patient with type 2 diabetes who went to Hospital for high fever, back pain, and worsening of known infected ulcers in the left foot. Despite intravenous antibiotic treatment and surgical debridement of the foot infection, high fever and lower back pain continued. Bone biopsy and two consecutive blood cultures were positive for Staphylococcus aureus. A spinal magnetic resonance imaging (MRI) was performed, revealing serious osteomyelitis in L4 and L5 complicated by an epidural abscess. Contiguous or other distant focuses of infection were not identified. In this case, diabetic foot could be considered as a primary distant focus for vertebral osteomyelitis. Clinicians should consider vertebral osteomyelitis as a ‘possible’ diagnosis in patients with type 2 diabetes complicated by foot infection that is associated with fever and lower back pain. |
abstractGer |
Vertebral osteomyelitis (or spondylodiscitis) is steadily increasing in Western countries and often results from hematogenous seeding, direct inoculation during spinal surgery, or contiguous spread from an infection in the adjacent soft tissue. We present the case of a 67-year-old white patient with type 2 diabetes who went to Hospital for high fever, back pain, and worsening of known infected ulcers in the left foot. Despite intravenous antibiotic treatment and surgical debridement of the foot infection, high fever and lower back pain continued. Bone biopsy and two consecutive blood cultures were positive for Staphylococcus aureus. A spinal magnetic resonance imaging (MRI) was performed, revealing serious osteomyelitis in L4 and L5 complicated by an epidural abscess. Contiguous or other distant focuses of infection were not identified. In this case, diabetic foot could be considered as a primary distant focus for vertebral osteomyelitis. Clinicians should consider vertebral osteomyelitis as a ‘possible’ diagnosis in patients with type 2 diabetes complicated by foot infection that is associated with fever and lower back pain. |
abstract_unstemmed |
Vertebral osteomyelitis (or spondylodiscitis) is steadily increasing in Western countries and often results from hematogenous seeding, direct inoculation during spinal surgery, or contiguous spread from an infection in the adjacent soft tissue. We present the case of a 67-year-old white patient with type 2 diabetes who went to Hospital for high fever, back pain, and worsening of known infected ulcers in the left foot. Despite intravenous antibiotic treatment and surgical debridement of the foot infection, high fever and lower back pain continued. Bone biopsy and two consecutive blood cultures were positive for Staphylococcus aureus. A spinal magnetic resonance imaging (MRI) was performed, revealing serious osteomyelitis in L4 and L5 complicated by an epidural abscess. Contiguous or other distant focuses of infection were not identified. In this case, diabetic foot could be considered as a primary distant focus for vertebral osteomyelitis. Clinicians should consider vertebral osteomyelitis as a ‘possible’ diagnosis in patients with type 2 diabetes complicated by foot infection that is associated with fever and lower back pain. |
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We present the case of a 67-year-old white patient with type 2 diabetes who went to Hospital for high fever, back pain, and worsening of known infected ulcers in the left foot. Despite intravenous antibiotic treatment and surgical debridement of the foot infection, high fever and lower back pain continued. Bone biopsy and two consecutive blood cultures were positive for Staphylococcus aureus. A spinal magnetic resonance imaging (MRI) was performed, revealing serious osteomyelitis in L4 and L5 complicated by an epidural abscess. Contiguous or other distant focuses of infection were not identified. In this case, diabetic foot could be considered as a primary distant focus for vertebral osteomyelitis. 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