89 results match your criteria Osteomyelitis Acute Pyogenic


Surgery is safe and effective when indicated in the acute phase of hematogenous pyogenic vertebral osteomyelitis.

Infect Dis (Lond) 2019 Feb 7:1-9. Epub 2019 Feb 7.

a Service de Médecine Interne, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris , Clichy , France.

Background: The overall benefit of surgical management in the acute phase of hematogenous pyogenic vertebral osteomyelitis remains difficult to evaluate because of the balance between potential functional benefit versus complications of surgery.

Methods: Between 2000 and 2013, in a tertiary care hospital, we analyzed a cohort of patients with hematogenous pyogenic vertebral osteomyelitis treated surgically and compared them to those treated medically. Neurologic deficit (using the ASIA impairment scale) and pain (using the analgesic level required) 4 months later, recurrences and infection-related deaths 12 months later were evaluated. Read More

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http://dx.doi.org/10.1080/23744235.2018.1562206DOI Listing
February 2019

In vivo efficacy of tobramycin-loaded synthetic calcium phosphate beads in a rabbit model of staphylococcal osteomyelitis.

Ann Clin Microbiol Antimicrob 2018 Dec 28;17(1):46. Epub 2018 Dec 28.

Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor Darul Ehsan, Malaysia.

Background: Osteomyelitis is an acute or chronic inflammatory process of the bone following infection with pyogenic organisms like Staphylococcus aureus. Tobramycin (TOB) is a promising aminoglycoside antibiotic used to treat various bacterial infections, including S. aureus. Read More

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https://ann-clinmicrob.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12941-018-0296-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309062PMC
December 2018
8 Reads
1.514 Impact Factor

Childhood Pyogenic Osteomyelitis in Abakaliki, South East Nigeria.

Niger J Surg 2018 Jan-Jun;24(1):27-33

Department of Surgery, Ebonyi State University/Federal Teaching Hospital, Abakaliki, Nigeria.

Background: Pyogenic osteomyelitis is an important child health problem in developing countries. It is a one-disease state with a spectrum of pathological features and clinical forms ranging from acute to chronic presentation. Its pattern of presentation varies from and within subregions. Read More

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http://dx.doi.org/10.4103/njs.NJS_17_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883847PMC
April 2018
2 Reads

Obturator Internus Abscess with Ipsilateral Septic Hip Arthritis.

J Coll Physicians Surg Pak 2016 Nov;26(11):144-145

Department of Orthopaedic Surgery, Busan Paik Hospital College of Medicine, Inje University, Busan, Korea.

Obturator internus muscle (OIM) abscess is an uncommon condition often mistaken for bacterial infection of the hip joint. If the OIM abscess is accompanied by a septic hip, it becomes more difficult to make a diagnosis. Surgical drainage of OIM abscess is difficult because it is located at a deep part of the pelvic cavity. Read More

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http://dx.doi.org/230DOI Listing
November 2016
20 Reads

Pyopericardium with Cardiac Tamponade in a Nigerian Child with Acute Osteomyelitis.

J Cardiovasc Echogr 2017 Apr-Jun;27(2):71-73

Department of Surgery, Cardiothoracic Unit, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria.

In pyopericardium, pus accumulates in the pericardial space as a result of infection by pyogenic organisms, most common of which are and . These patients are at risk of cardiac tamponade. Apart from pericardiocentesis in the management of these patients, definitive drug treatment may pose a formidable challenge in a setting of coinfection as in patients with tuberculosis who are predisposed to secondary bacterial infections. Read More

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http://dx.doi.org/10.4103/jcecho.jcecho_45_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5412741PMC
May 2017
6 Reads

The Usefulness of T1-Weighted Magnetic Resonance Images for Diagnosis of Acute Leukemia Manifesting Musculoskeletal Symptoms prior to Appearance of Peripheral Blood Abnormalities.

Case Rep Pediatr 2016 18;2016:2802596. Epub 2016 Oct 18.

Department of Pediatrics, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.

The patients with acute leukemia occasionally present with musculoskeletal symptoms initially, including bone pain, joint pain, muscular pain, and functional impairment. Without abnormal findings of peripheral blood cell counts or smear, the correct diagnosis tends to be delayed. Magnetic resonance imaging is often performed to examine musculoskeletal abnormalities; it can simultaneously reveal the bone marrow composition with high anatomical resolution and excellent soft tissue contrast. Read More

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http://dx.doi.org/10.1155/2016/2802596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088267PMC
October 2016
25 Reads

Invasive liver abscess syndrome predisposed by Klebsiella pneumoniae related prostate abscess in a nondiabetic patient: a case report.

BMC Res Notes 2016 Aug 9;9:395. Epub 2016 Aug 9.

Department of Medicine, Kaohsiung Armed Forces General Hospital, No.2, Zhongzheng 1st Road, Lingya District, Kaohsiung, 802, Taiwan, ROC.

Background: Prostate abscess is usually a complication of acute urinary tract infection. Invasive liver abscess syndrome is characterized with Klebsiella pneumoniae related multiple organ metastasis. Concomitant pyogenic liver abscess and prostate abscess have rarely been reported. Read More

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http://dx.doi.org/10.1186/s13104-016-2188-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977897PMC
August 2016
7 Reads

Listeria Meningitis in an Immunocompetent Child.

Pediatr Emerg Care 2017 Aug;33(8):579-581

From the *Emergency Department of Paediatrics, Departments of †Clinical Pathology and Microbiology and ‡Hematology and Oncology, and §Infectious Diseases Unit, G. Gaslini Children's Hospital, Genoa, Italy.

Listeria monocytogenes is a facultative anerobic, gram-positive bacillus that is isolated from the soil, vegetables, and wild or domestic animals. Listeria infection is usually found in the older adults, immunocompromised patients, pregnant women, and newborns, whereas it is rare in healthy infants and children. Listeria monocytogenes may cause meningitis, meningoencephalitis, brain abscess, pyogenic arthritis, osteomyelitis, and liver abscess in children. Read More

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http://dx.doi.org/10.1097/PEC.0000000000000687DOI Listing
August 2017
6 Reads

Acute Monoarthritis of the Wrist Joint: Tuberculosis or Not?

J Wrist Surg 2016 Mar 15;5(1):77-9. Epub 2015 Dec 15.

Department of Microbiology, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, India.

Background Extrapulmonary tuberculosis (EPTB) is known to have many and varied presentations. However, isolated involvement of bone with tubercular infection is uncommon. The clinical features of such infections are known to mimic chronic pyogenic osteomyelitis, Brodie abscess, or tumors, but not acute monoarthritis. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1569484
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http://dx.doi.org/10.1055/s-0035-1569484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742268PMC
March 2016
2 Reads

Outcome of culture-negative pyogenic vertebral osteomyelitis: comparison with microbiologically confirmed pyogenic vertebral osteomyelitis.

Semin Arthritis Rheum 2014 Oct 26;44(2):246-52. Epub 2014 Apr 26.

Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, South Korea.

Objectives: Although pyogenic vertebral osteomyelitis (PVO) with no identified microorganism is treated empirically, the clinical outcome is not well understood.

Methods: We conducted a retrospective review of patients with PVO at a tertiary-care hospital from 2000 through 2012. The study compared clinical features and outcomes of microbiologically confirmed (M-PVO) with clinically diagnosed PVO (C-PVO). Read More

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http://dx.doi.org/10.1016/j.semarthrit.2014.04.008DOI Listing
October 2014
42 Reads

Propionibacterium acnes and Staphylococcus lugdunensis cause pyogenic osteomyelitis in an intramedullary nail model in rabbits.

J Clin Microbiol 2014 May 5;52(5):1595-606. Epub 2014 Mar 5.

AO Research Institute Davos, Davos, Switzerland.

Propionibacterium acnes and coagulase-negative staphylococci (CoNS) are opportunistic pathogens implicated in prosthetic joint and fracture fixation device-related infections. The purpose of this study was to determine whether P. acnes and the CoNS species Staphylococcus lugdunensis, isolated from an "aseptically failed" prosthetic hip joint and a united intramedullary nail-fixed tibial fracture, respectively, could cause osteomyelitis in an established implant-related osteomyelitis model in rabbits in the absence of wear debris from the implant material. Read More

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http://dx.doi.org/10.1128/JCM.03197-13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3993669PMC
May 2014
38 Reads

Chronic recurrent multifocal osteomyelitis causing an acute scoliosis.

Case Rep Pediatr 2013 31;2013:649097. Epub 2013 Jul 31.

Department of Spinal Surgery, Musgrove Park Hospital, Taunton, Somerset TA1 5DA, UK.

Study Design. A Case Report. Objective. Read More

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https://www.orpha.net/data/patho/GB/uk-CRMO.pdf
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http://www.hindawi.com/journals/cripe/2013/649097/
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http://dx.doi.org/10.1155/2013/649097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3755417PMC
September 2013
2 Reads

Streptococcal vertebral osteomyelitis: multiple faces of the same disease.

Clin Microbiol Infect 2014 Jan 24;20(1):O33-8. Epub 2013 Jul 24.

Department of Infectious Diseases, Hospital Universitari Bellvitge, Barcelona, Spain.

The role of Streptococcus species as an aetiological microorganism of vertebral osteomyelitis (VO) is considered to be of little relevance. We aimed to describe a large number of cases of streptococcal vertebral osteomyelitis (SVO), to analyze the clinical features associated with different Streptococcus species, and to compare them with a cohort of patients with VO caused by Staphylococcus aureus. An incidence study and a retrospective, multicenter, observational clinical study of cases of SVO (1991-2011) were performed. Read More

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http://dx.doi.org/10.1111/1469-0691.12302DOI Listing
January 2014
10 Reads

Serum Procalcitonin is a sensitive and specific marker in the diagnosis of septic arthritis and acute osteomyelitis.

J Orthop Surg Res 2013 Jul 4;8:19. Epub 2013 Jul 4.

Department of Orthopedics, JIPMER, Puducherry, India.

Background: Early diagnosis of Acute Osteomyelitis (OM) and Septic Arthritis (SA) is of vital importance to avoid devastating complications. There is no single laboratory marker which is sensitive and specific in diagnosing these infections accurately. Total Count, ESR and CRP are not specific as they can also be elevated in non pyogenic causes of inflammation. Read More

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http://dx.doi.org/10.1186/1749-799X-8-19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718669PMC
July 2013
6 Reads

Acute osteomyelitis and septic arthritis of the shoulder in premature neonates--report of two cases.

Med Pregl 2012 Jan-Feb;65(1-2):59-64

Department of Pediatrics, Institute for Child and Youth Health Care of Vojvodina.

Acute hematogenous osteomyelitis and septic arthritis are pyogenic infections of bone and joint, respectively. At the youngest age, they usually occur at the same time--hence the common name "osteoarthritis". When it comes to neonates, osteoarthritis is an infrequent finding, but it can give a permanent disability and can be even fatal unless early recognized and adequately and promptly treated. Read More

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May 2012
3 Reads

Subacute physeal abscess: case report to illustrate treatment with a minimally invasive incision and drainage technique.

Ann R Coll Surg Engl 2012 Mar;94(2):e51-4

Princess Alexandra Hospital NHS Trust, UK.

Introduction: Brodie's abscess is a form of subacute osteomyelitis characterised by a low grade pyogenic abscess found most commonly in the metaphysis. One rare form found in children crosses the physeal growth plate and into the epiphysis. Due to the rarity of this subtype and apprehension associated with treatment of the transphyseal abscess, no clear guidance exists on its management. Read More

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http://dx.doi.org/10.1308/003588412X13171221502022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827242PMC
March 2012
1 Read

Chronic suppurative osteomyelitis of the mandible.

J Indian Soc Pedod Prev Dent 2011 Apr-Jun;29(2):176-9

Department of Pedodontics and Preventive Dentistry, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India.

Osteomyelitis is an infection of the bone or bone marrow, usually caused by pyogenic bacteria or mycobacterium. Osteomyelitis, inflammatory process of the bone and its structures, can be acute or chronic. Taking a journey from a nonsurgical approach to a surgical one, it appeared to be one osteomyelitis revenge against all our efforts. Read More

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http://dx.doi.org/10.4103/0970-4388.84696DOI Listing
January 2012
4 Reads

Changing trends in the epidemiology of pyogenic vertebral osteomyelitis: the impact of cases with no microbiologic diagnosis.

Semin Arthritis Rheum 2011 Oct 12;41(2):247-55. Epub 2011 Jun 12.

Department of Infectious Diseases, Hospital Universitario de Bellvitge, Barcelona, Spain.

Objectives: The observed higher incidence of pyogenic vertebral osteomyelitis (PVO) may entail an increasing number of patients with no microbiologic diagnosis. The true incidence of these cases, how exhaustive the etiologic diagnostic efforts must be, and the usefulness of an empirical antibiotic therapy are not well defined.

Methods: Retrospective analysis of all cases of vertebral osteomyelitis in our center (1991-2009) and retrospective analysis of cases of PVO (2005-2009). Read More

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http://dx.doi.org/10.1016/j.semarthrit.2011.04.002DOI Listing
October 2011
5 Reads

A case of meningoencephalitis caused by Listeria monocytogenes in a healthy child.

Korean J Pediatr 2010 May 31;53(5):653-6. Epub 2010 May 31.

Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Listeria monocytogenes is a facultative anaerobic, gram-positive bacillus that is isolated from the soil, vegetables, and wild or domestic animals. Listeria occurs predominantly in the elderly, immunocompromised patients, pregnant women and newborns. Infections by this microorganism are rare in healthy infants and children. Read More

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http://dx.doi.org/10.3345/kjp.2010.53.5.653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994123PMC
May 2010
2 Reads

Systematic review of systemic antibiotic treatment for children with chronic and sub-acute pyogenic osteomyelitis.

J Paediatr Child Health 2010 Dec 3;46(12):736-41. Epub 2010 Sep 3.

Faculty of Medicine, University of Sydney, Sydney, and Children's Hospital at Westmead, Westmead, NSW 2145, Australia.

Background: There is a lack of consensus on the most appropriate antibiotics to treat children with chronic or sub-acute pyogenic bacterial osteomyelitis and on the optimal duration of antibiotic therapy.

Aim: To review the published evidence on the duration of antibiotic therapy and outcomes in children with chronic and sub-acute pyogenic bacterial osteomyelitis.

Methods: Systematic review of the literature. Read More

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http://dx.doi.org/10.1111/j.1440-1754.2010.01831.xDOI Listing
December 2010
6 Reads

Diagnosis and treatment of pyogenic bone infections.

Afr Health Sci 2010 Mar;10(1):82-8

Department of Surgery, University of Calabar Teaching Hospital, Nigeria.

Background: Pyogenic osteomyelitis is still frequently seen in the developing world and the treatment of chronic osteomyelitis presents a considerable challenge despite advances in microbiological techniques, antibiotics and surgical techniques. Acute haematogenous osteomyelitis is commoner in children.

Results: In the pre-antibiotic era, mortality rate was high and progression to chronic osteomyelitis was common. Read More

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https://tspace.library.utoronto.ca/bitstream/1807/50848/1/hs
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895795PMC
March 2010
8 Reads

Animal models for the study of osteomyelitis.

Semin Plast Surg 2009 May;23(2):148-54

Department of Surgery, Cooper University Hospital, Robert Wood Johnson Medical School, Camden, New Jersey.

Osteomyelitis is an acute or chronic inflammatory process of the bone and its related structures secondary to an infection with pyogenic organisms. Because of the variety in disease presentations and pathophysiology of osteomyelitis, it is very difficult to evaluate in clinical studies. Therefore, animal models have been created for in vivo experimentation. Read More

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http://dx.doi.org/10.1055/s-0029-1214167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884898PMC
May 2009
20 Reads

[Haematogenous vertebral osteomyelitis. Experience of a primary care hospital].

Reumatol Clin 2010 Mar-Apr;6(2):86-90. Epub 2009 Aug 3.

Servicio de Reumatología, Hospital de Viladecans, Viladecans, Barcelona, España.

Objectives: To describe a series of patients with haematogenous vertebral osteomyelitis (HVO) in a primary care hospital. The results were compared with other Spanish and foreign series.

Patients And Methods: The files of patients with HVO diagnosed in the Viladecans hospital from 1993 through 2008, were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.reuma.2009.05.003DOI Listing
October 2012
3 Reads

Calcaneal osteomyelitis presenting with acute tarsal tunnel syndrome: a case report.

J Med Case Rep 2010 Feb 23;4:66. Epub 2010 Feb 23.

Hercies Road, Uxbridge, Middlesex, UB10 9LU, UK.

Introduction: Cases of acute tarsal tunnel syndrome are rare. To the best of our knowledge, we describe the only reported case of acute posterior tibial nerve compression resulting from adjacent haemotogenous pyogenic calcaneal osteomyelitis.

Case Presentation: A previously healthy 38-year-old Caucasian woman developed symptoms of acute tarsal tunnel syndrome in her right foot over a six-day period. Read More

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http://dx.doi.org/10.1186/1752-1947-4-66DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2838913PMC
February 2010
4 Reads

Auto-inflammatory syndromes and oral health.

Oral Dis 2008 Nov;14(8):690-9

UCL Eastman Dental Institute, London, UK.

Auto-inflammatory diseases (periodic syndromes) are rare childhood-onset disorders which are characterized by fluctuating or recurrent episodes of fever and inflammation affecting serosal surfaces, joints, eyes and/or skin without significant autoantibody production or an identifiable underlying infection. They are disorders of innate immunity and the underlying genetic defect has been identified in most of the syndromes. Diagnosis relies on clinical symptoms and evidence of an elevated acute phase response during attacks, supported by finding mutations in the relevant genes. Read More

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http://dx.doi.org/10.1111/j.1601-0825.2008.01484.xDOI Listing
November 2008
2 Reads

Does Acute placement of instrumentation in the treatment of vertebral osteomyelitis predispose to recurrent infection: long-term follow-up in immune-suppressed patients.

Spine (Phila Pa 1976) 2008 Sep;33(19):2089-93

Stanford University, Department of Orthopaedic Surgery, Stanford, CA 94305, USA.

Study Design: Single institution, prospective observation study.

Objective: To determine the long-term clinical outcomes of immune-suppressed patients with pyogenic vertebral osteomyelitis (PVO) treated with spinal instrumentation in the setting of active infection.

Summary Of Background Data: The mainstay of treatment for PVO remains nonoperative. Read More

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http://dx.doi.org/10.1097/BRS.0b013e3181839b9cDOI Listing
September 2008
2 Reads

Long-term functional outcome in pyogenic spinal infection.

Spine (Phila Pa 1976) 2008 Apr;33(8):E246-53

Department of Orthopaedic Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

Study Design: Retrospective.

Objective: To assess long-term adverse functional outcome following pyogenic spinal infection using standardized outcome measures, Oswestry disability index (ODI), and medical outcomes study short form-36 (SF-36).

Summary Of Background Data: There is minimal published data regarding the long-term functional outcome in pyogenic spinal infection. Read More

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http://dx.doi.org/10.1097/BRS.0b013e31816b8872DOI Listing
April 2008
4 Reads

Iatrogenic pyogenic osteomyelitis of C-1 and C-2 treated with transoral decompression and delayed posterior occipitocervical arthrodesis. Case report.

J Neurosurg Spine 2007 Dec;7(6):664-8

Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York 14642-8670, USA.

The authors describe a case of osteomyelitis of the craniocervical junction caused by iatrogenic infection of the spine during corticosteroid injection therapy. This 58-year-old diabetic man presented with acute exacerbation of neck pain that had began 4 months prior to admission. He did not experience the associated fever, chills, or sweats, but he did notice transient weakness in the right upper extremity. Read More

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http://dx.doi.org/10.3171/SPI-07/12/664DOI Listing
December 2007
6 Reads

Pyogenic liver abscess caused by Burkholderia pseudomallei in Taiwan.

J Formos Med Assoc 2006 Aug;105(8):689-93

Section of Infectious Diseases, Department of Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Pyogenic liver abscess in Taiwan is a well-known disease entity, commonly associated with a single pathogen, Klebsiella pneumoniae. Melioidosis is an endemic disease in Taiwan that can manifest as multiple abscesses in sites including the liver. We report three cases of liver abscesses caused by Burkholderia pseudomallei. Read More

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August 2006
4 Reads

Nuclear medicine imaging of bone infections.

Nucl Med Commun 2006 Aug;27(8):633-44

Struttura Complessa di Medicina Nucleare, Azienda Ospedaliero-Universitaria, Ferrara, Italy.

The inflammation and infection of bone include a wide range of processes that can result in a reduction of function or in the complete inability of patients. Apart from the inflammation, infection is sustained by pyogenic microorganisms and results mostly in massive destruction of bones and joints. The treatment of osteomyelitis requires long and expensive medical therapies and, sometimes, surgical resection for debridement of necrotic bone or to consolidate or substitute the compromised bones and joints. Read More

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August 2006
3 Reads

Vertebral osteomyelitis in a high school hockey player: a case report.

J Athl Train 1999 Jan;34(1):29-33

The Valley Hospital Sports Institute, Ridgewood, NJ.

Objective: To present the case of a high school hockey player with vertebral osteomyelitis in the body of the third lumbar vertebra.

Background: Vertebral osteomyelitis is an infrequently reported cause of back pain in otherwise healthy adolescent athletes. Osteomyelitis is an inflammation of bone caused by a pyogenic organism. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1322871PMC
January 1999
1 Read

[Paraplegia in cases of septic diseases of the spine].

Authors:
M Keil M Akbar R Abel

Orthopade 2005 Feb;34(2):113-4, 116-9

Abt. Orthopädie II, Stiftung Orthopädische Universitätsklinik Heidelberg.

Background: Paraplegia of non-traumatic origin has an increasing incidence. Infection of the spine is a major contributor to the number of these cases. Besides adequate management of spinal cord injury, the treatment of these patients requires specific therapeutic techniques. Read More

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http://dx.doi.org/10.1007/s00132-004-0753-xDOI Listing
February 2005
2 Reads

Nonspecific pyogenic spondylodiscitis: clinical manifestations, surgical treatment, and outcome in 24 patients.

Neurosurg Focus 2004 Dec 15;17(6):E3. Epub 2004 Dec 15.

Department of Neurosurgery, University of Rostock, Germany.

Object: Pyogenic vertebral osteomyelitis is of special interest to neurosurgeons because it often results in acute neurological deterioration and requires a combination of adequate surgical and conservative treatment. The aim of the current study was to evaluate the strategy of a primary surgical approach to this disease.

Methods: A group of 24 patients with the clinical and radiological signs of acute pyogenic spondylodiscitis was prospectively followed from 1998 to 2004. Read More

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December 2004
7 Reads

[Hematogenous osteomyelitis in adults].

Orthopade 2004 Mar;33(3):273-86

II. Chirurgische Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum Bamberg.

Hematogenous osteomyelitis (HOM) in adults is a very rare event in industrialised countries. However, in tropical regions the morbidity of HOM is more important, primarily due to the impact of sickle cell disease, thalassemia, HIV-infection and tuberculosis. HOM is most commonly caused by pyogenic bacteria and mycobacteria, but infections by fungi, viruses and parasites must also be considered. Read More

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http://dx.doi.org/10.1007/s00132-003-0601-4DOI Listing
March 2004
2 Reads

Immune response in HIV-1-infected children with thalassaemia given a primary course of DPT vaccine before acquiring HIV-1 infection.

Ann Trop Paediatr 2003 Dec;23(4):279-92

Division of AIDS, AIDS Reference Centre, National Institute of Communicable Diseases, Delhi, India.

The effect of HIV infection on immune response to diphtheria and tetanus primary immunisation was investigated in 24 HIV-1-positive multi-transfused (MT) children with thalassaemia and compared with 48 HIV-1-negative MT thalassaemic children and 36 HIV-1-negative non-transfused (NT) children in the community. Diphtheria and tetanus antibody levels in the HIV-1-positive MT group were comparable with the two HIV-negative groups. The proportions of children with antibody titres below the protective level (i. Read More

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http://dx.doi.org/10.1179/027249303225007824DOI Listing
December 2003
1 Read

Musculoskeletal manifestations of human immunodeficiency virus infection.

J Am Acad Orthop Surg 2002 Sep-Oct;10(5):312-20

Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, USA.

Musculoskeletal manifestations of the human immunodeficiency virus (HIV) are common and are sometimes the initial presentation of the disease. Knowledge of the conditions affecting muscle, bone, and joints in HIV-infected patients is essential for successful management. Myopathies may be caused by pyogenic infection (eg, pyomyositis), idiopathic inflammation (eg, polymyositis), or drug effect (eg, AZT myopathy). Read More

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December 2002
3 Reads

Recurrent pyogenic vertebral osteomyelitis associated with type 2 diabetes mellitus.

J Int Med Res 2001 Sep-Oct;29(5):445-50

Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Japan.

We report a case of recurrent pyogenic vertebral osteomyelitis associated with type 2 diabetes mellitus. A 51-year-old male was admitted to our hospital because of lumbago and general fatigue, with multiple ulcers on the soles of his feet. Staphylococcus aureus was isolated from peripheral blood and the foot ulcers, and 67Gallium scintigram showed abnormal isotope uptake, accumulated at the lower thoracic spine. Read More

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http://dx.doi.org/10.1177/147323000102900511DOI Listing
December 2002
5 Reads

Acute (haematogenous) osteomyelitis of the skull in childhood.

Authors:
E A Ameh B B Shehu

West Afr J Med 2001 Jan-Mar;20(1):78-80

Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

A 13-year old boy presented with a 2-week history of right frontotemporal headache, fever and progressive painful swelling in that region. There was no preceding trauma. Clinical and radiological evaluation confirmed osteomyelitis of the right frontal bone. Read More

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September 2001
2 Reads

(99m)Tc-E-selectin binding peptide for imaging acute osteomyelitis in a novel rat model.

Nucl Med Commun 2001 Sep;22(9):1003-13

Department of Nuclear Medicine, Philipps University of Marburg, Baldingerstrasse, 35033 Marburg, Germany.

Introduction: In the present study, (99m)Tc-radiolabelled E-selectin binding peptide ((99m)Tc-IMP-178) was investigated for its potential to image acute pyogenic osteomyelitis in a new animal model. Intraindividual comparisons were performed using an irrelevant peptide ((99m)Tc-IMP-100) to demonstrate specificity.

Methods: An acute pyogenic osteomyelitis was induced by injecting 0. Read More

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September 2001
3 Reads

(99m)Tc-interleukin-8 for imaging acute osteomyelitis.

J Nucl Med 2001 Aug;42(8):1257-64

Department of Nuclear Medicine, University Medical Center Nijmegen, Nijmegen, The Netherlands.

Unlabelled: Early and accurate diagnosis of osteomyelitis remains a clinical problem. Acute osteomyelitis often occurs in infants and most often is located in the long bones. Radiologic images show changes only in advanced stages of disease. Read More

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August 2001
3 Reads

Contained rupture of the aneurysm of common iliac artery associated with pyogenic vertebral spondylitis.

Spine (Phila Pa 1976) 2001 Jul;26(13):E303-7

Department of Orthopedic Surgery, Saiseikai Hyogo Hospital, Kobe, Japan.

Study Design: A case report.

Objectives: To report and discuss a case of contained rupture of the aneurysm of common iliac artery associated with pyogenic vertebral spondylitis, so that investigators and practitioners may avoid the diagnostic and therapeutic pitfalls associated with pyogenic vertebral spondylitis and aortic disease.

Summary Of Background Data: Pyogenic vertebral spondylitis is a rare disorder that may have serious consequences, including death, if it is not diagnosed promptly and treated effectively. Read More

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July 2001
4 Reads

[Two cases of pyogenic cervical discitis presenting tetraparesis].

No Shinkei Geka 2000 Jul;28(7):631-7

Department of Neurosurgery, Maizuru Municipal Hospital, Japan.

The authors reported two cases of pyogenic cervical discitis presenting tetraparesis. Case 1: A 66-year-old male patient entered the hospital because of tetraparesis. Two weeks before the hospitalization, he had become feverish and awakened with motor weakness in all extremities. Read More

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July 2000
32 Reads

Pyogenic spondylodiskitis: a radiologic/pathologic and culture correlation study.

Arch Pathol Lab Med 2000 May;124(5):712-6

Department of Pathology, University of Texas Medical Branch, Galveston, TX 77555-0588, USA.

Background: Intervertebral disk tissue is resistant to hematogenous infection because of its avascularity. However, spondylodiskitis is being diagnosed with increasing frequency because of advancement in magnetic resonance imaging technology. There is a dearth of information regarding the bacteriology, histomorphologic features, and radiopathologic correlation of spondylodiskitis. Read More

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http://dx.doi.org/10.1043/0003-9985(2000)124<0712:PS>2.0.CO;2DOI Listing
May 2000
4 Reads

Community-acquired Pseudomonas stutzeri vertebral osteomyelitis in a previously healthy patient: case report and review.

Clin Infect Dis 1999 Sep;29(3):667-9

Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30303, USA.

Pseudomonas stutzeri is a rare pathogen, and its recovery is often associated with colonization and contamination. We report a case that, to our knowledge, is the first of community-acquired P. stutzeri vertebral osteomyelitis in a previously healthy patient, and we review the literature regarding infections with this uncommon organism. Read More

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September 1999
2 Reads

Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain.

Authors:
D G Borenstein

Curr Opin Rheumatol 1999 Mar;11(2):151-7

George Washington University Medical Center, Washington, DC 20006, USA.

Low back pain continues to affect a significant proportion of the younger, working population between 35 and 45 years of age. An important study has correlated macroscopic and microscopic intervertebral disc alterations starting in the second decade of life with oxidative stress manifested by the presence of N-(carboxylmethyl)lysine. Job satisfaction remains a strong predictive factor for the identification of individuals with acute back pain who will develop chronic pain. Read More

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March 1999
2 Reads

Pyogenic clavicular osteomyelitis associated with disseminated intravascular coagulation and acute renal failure in a patient with non-insulin-dependent diabetes mellitus.

Intern Med 1997 Nov;36(11):810-4

First Department of Internal Medicine, Matsushita Memorial Hospital, Moriguchi, Osaka.

Pyogenic osteomyelitis is often accompanied by diabetes, but the disease in the clavicula has rarely been reported. We describe an unusual case of a 53-year-old man with poorly controlled non-insulin-dependent diabetes mellitus who presented with pyogenic clavicular osteomyelitis and developed DIC and acute renal failure. A 67Ga scintigram revealed an abnormal accumulation of the isotope in the right clavicula, where magnetic resonance imaging (MRI) showed inflammatory changes. Read More

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November 1997
1 Read

Pyogenic vertebral osteomyelitis.

Authors:
E J Carragee

J Bone Joint Surg Am 1997 Jun;79(6):874-80

Stanford University Medical Center, California 94305, USA.

I retrospectively reviewed the records of 111 patients who had pyogenic vertebral osteomyelitis unrelated to an open procedure on the spine. The mean age at the time of the diagnosis was sixty years (range, eighteen to eighty-four years); sixty-one patients (55 per cent) were sixty years old or more. Forty-four patients (40 per cent) had an impaired immune system secondary to diabetes mellitus, the use of corticosteroids, chemotherapy for cancer, rheumatic or immunological disease, renal or hepatic failure, malnutrition, or myelodysplasia. Read More

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June 1997
3 Reads

Pyogenic vertebral osteomyelitis after acute bacterial prostatitis: a case report.

Int J Urol 1996 Sep;3(5):402-4; discussion 405

Department of Urology, Rakuwa-kai Otowa Hospital, Kyoto, Japan.

A case of pyogenic vertebral osteomyelitis after acute bacterial prostatitis in a 78-year-old man is reported. The rarity and subtle clinical presentation of this condition, and the delayed appearance of radiologic signs of progression to destructive osteomyelitis, contributed to a significant delay in diagnosis. An arterial blood culture positive for bacterial growth during the episode of acute prostatitis suggested that bacteremia might result from hematogenous spread of the infection to the vertebral column via the venous system. Read More

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September 1996
3 Reads

Follow-up of osteomyelitis of infants with systemic serum parameters and bone scintigraphy.

Nuklearmedizin 1996 Aug;35(4):116-21

Department of Radiology, University Hospital, Graz, Austria.

Aim: To prevent orthopedic sequelae in acute hematogenous pyogenic osteomyelitis (AHPO) of infants early diagnosis, recognition of recurrence and effective therapy is needed. This retrospective study of 47 infants with bacteriologically confirmed AHPO concerned with an analysis of the diagnostic value of systemic serum parameters compared to bone scintigraphy (BSC).

Methods: AHPO was characterized initially and during the course of disease by clinical findings, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), total and differential white blood cell (WBC) count, BSC, and plain radiography. Read More

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August 1996
2 Reads