Espondilodiscite cervical espontânea causada por Salmonella typhi em paciente imunocompetente
Relatamos um caso de espondilodiscite cervical espontânea por Salmonella typhi. Trata-se de um paciente de 52 anos, hígido previamente, que procurou o serviço de neurocirurgia com queixa de dor na coluna cervical e região escapular. A investigação radiológica com cintilografia óssea e ressonância ma...
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| Published in: | Arquivos de neuro-psiquiatria Vol. 60; no. 4; pp. 1034 - 1037 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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01-12-2002
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| Abstract | Relatamos um caso de espondilodiscite cervical espontânea por Salmonella typhi. Trata-se de um paciente de 52 anos, hígido previamente, que procurou o serviço de neurocirurgia com queixa de dor na coluna cervical e região escapular. A investigação radiológica com cintilografia óssea e ressonância magnética sugeriram processo inflamatório dos corpos vertebrais de C5-C6 e do disco vertebral interposto. Houve crescimento da Salmonella typhi na hemocultura e no material obtido pela biópsia com agulha de C5 e aumento dos títulos séricos para Salmonella typhi. O tratamento instituído foi imobilização externa com halo-colete e antibioticoterapia com ciprofloxacina. Realizou-se revisão da literatura sobre aspectos clínicos, diagnósticos e terapêuticos dessa entidade de incidência incomun, principalmente pelo fato de acometer paciente imunocompetente e se localizar na região cervical da coluna vertebral.
We report a case of spontaneous cervical spondylodiscitis caused by Salmonella typhi. A 52-year-old man presented in the neurosurgical service with complaints of pain in the cervical and scapular region. Cervical inflammatory disease was suggested by bone scintigraphy and magnetic resonance imaging. The diagnosis of Salmonella typhi spondylodiscitis was established by blood culture and culture of needle biopsy specimen taken from the C5 vertebra. The agglutinin titers for Salmonella were elevated. Intravenous ciprofloxacin therapy and external immobilization with a halo vest were instituted. A review of literature was performed evaluating the clinical, diagnostic and therapeutic aspects of this unusual pathology. |
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| AbstractList | Relatamos um caso de espondilodiscite cervical espontânea por Salmonella typhi. Trata-se de um paciente de 52 anos, hígido previamente, que procurou o serviço de neurocirurgia com queixa de dor na coluna cervical e região escapular. A investigação radiológica com cintilografia óssea e ressonância magnética sugeriram processo inflamatório dos corpos vertebrais de C5-C6 e do disco vertebral interposto. Houve crescimento da Salmonella typhi na hemocultura e no material obtido pela biópsia com agulha de C5 e aumento dos títulos séricos para Salmonella typhi. O tratamento instituído foi imobilização externa com halo-colete e antibioticoterapia com ciprofloxacina. Realizou-se revisão da literatura sobre aspectos clínicos, diagnósticos e terapêuticos dessa entidade de incidência incomun, principalmente pelo fato de acometer paciente imunocompetente e se localizar na região cervical da coluna vertebral.
We report a case of spontaneous cervical spondylodiscitis caused by Salmonella typhi. A 52-year-old man presented in the neurosurgical service with complaints of pain in the cervical and scapular region. Cervical inflammatory disease was suggested by bone scintigraphy and magnetic resonance imaging. The diagnosis of Salmonella typhi spondylodiscitis was established by blood culture and culture of needle biopsy specimen taken from the C5 vertebra. The agglutinin titers for Salmonella were elevated. Intravenous ciprofloxacin therapy and external immobilization with a halo vest were instituted. A review of literature was performed evaluating the clinical, diagnostic and therapeutic aspects of this unusual pathology. |
| Author | Falavigna, Asdrubal Ferraz, Fernando Antonio Patriani |
| Author_xml | – sequence: 1 givenname: Asdrubal surname: Falavigna fullname: Falavigna, Asdrubal organization: Fundação Universidade de Caxias do Sul, Brasil; Federal de São Paulo, Brasil – sequence: 2 givenname: Fernando Antonio Patriani surname: Ferraz fullname: Ferraz, Fernando Antonio Patriani organization: Federal de São Paulo; Federal de São Paulo |
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| Cites_doi | 10.2106/00004623-199404000-00015 10.1086/514668 10.1093/clinids/11.Supplement_5.S1259 10.1093/clinids/1.5.754 10.1128/AAC.29.3.405 10.1093/clinids/19.4.746 10.1093/infdis/138.6.820 10.1016/S0030-5898(20)30963-9 10.1097/00006123-199605000-00013 10.1056/NEJM198008143030703 10.1016/S0022-3476(81)80330-7 10.1097/00007632-198606000-00003 10.1016/S0891-5520(20)30362-7 10.1302/0301-620X.42B1.86 |
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| References | Ortiz-Neu C (ref1) 1978; 138 Abramovitz J (ref7) 1996; 11 Larget-Piet B (ref8) 1995; 45 Cahill D (ref9) 1996 Ring D (ref16) 1994; 76 Currier B (ref19) 1998 Pritchard A (ref20) 1960; 42 Sapico F (ref14) 1974; 1 Santos E (ref4) 1998; 27 Fong I (ref21) 1986; 29 Staufer R (ref5) 1975; 6 Gomez Rodriguez N (ref12) 1989; 184 Sapico F (ref18) 1990; 4 Perrone C (ref11) 1994; 19 Hook E (ref2) 1961; 37 Miller O (ref17) 1986 Rath S (ref15) 1996; 38 Waldvogel F (ref22) 1989; 11 Waldwogel F (ref6) 1980; 303 Kelly PJ (ref10) 1997 Givner L (ref3) 1981; 99 Tsui H (ref13) 1997; 40 |
| References_xml | – start-page: 96 volume-title: Infections of the spine year: 1997 ident: ref10 contributor: fullname: Kelly PJ – volume: 184 start-page: 289 year: 1989 ident: ref12 article-title: Non-tuberculous spondylodiscitis publication-title: multicenter study of 19 cases.Rev Clin Esp contributor: fullname: Gomez Rodriguez N – volume: 76 start-page: 596 year: 1994 ident: ref16 article-title: Magnetic resonance-imaging scans in discitis. Sequential studies in a child who needed operative drainage: a case report publication-title: J Bone Joint Surg doi: 10.2106/00004623-199404000-00015 contributor: fullname: Ring D – volume: 27 start-page: 287 issn: 1058-4838 year: 1998 ident: ref4 article-title: Vertebral osteomyelitis due to Salmonellae: report of two cases and review publication-title: Clin Infect Dis doi: 10.1086/514668 contributor: fullname: Santos E – start-page: 1453 volume-title: Pyogenic infection in the spine year: 1996 ident: ref9 contributor: fullname: Cahill D – volume: 11 start-page: S1259 issn: 0162-0886 year: 1989 ident: ref22 article-title: Use of quinolones for the treatment of osteomyelitis and septic arthritis publication-title: Rev Infect Dis doi: 10.1093/clinids/11.Supplement_5.S1259 contributor: fullname: Waldvogel F – volume: 1 start-page: 754 issn: 0162-0886 year: 1974 ident: ref14 article-title: Pyogenic vertebral osteomyelitis: report of nine cases and review of the literature publication-title: Rev Infect Dis doi: 10.1093/clinids/1.5.754 contributor: fullname: Sapico F – volume: 29 start-page: 405 issn: 0066-4804 year: 1986 ident: ref21 article-title: Ciprofloxacin concentrations in bone and muscle after oral dosing publication-title: Antimicrob Agents Chemother doi: 10.1128/AAC.29.3.405 contributor: fullname: Fong I – volume: 19 start-page: 746 issn: 1058-4838 year: 1994 ident: ref11 article-title: Pyogenic and tuberculous spondylodiskitis (vertebral osteomyelitis) in 80 adult patients publication-title: Clin Infect Dis doi: 10.1093/clinids/19.4.746 contributor: fullname: Perrone C – start-page: 659 volume-title: Cervical spine infections year: 1998 ident: ref19 contributor: fullname: Currier B – volume: 138 start-page: 820 issn: 0022-1899 year: 1978 ident: ref1 article-title: Bone and joint infections due to Salmonella publication-title: J Infect Dis doi: 10.1093/infdis/138.6.820 contributor: fullname: Ortiz-Neu C – volume: 40 start-page: 48 issn: 0008-428X year: 1997 ident: ref13 article-title: Osteomyelitis of the spine due to Salmonella infection - conservative treatment with quinolona: a case report publication-title: Can J Surg contributor: fullname: Tsui H – volume: 37 start-page: 499 issn: 0028-7091 year: 1961 ident: ref2 article-title: Salmonellisis: certain factors influencing the interaction of Salmonella and the human host publication-title: Bull N Y Acad Med contributor: fullname: Hook E – volume: 6 start-page: 1015 year: 1975 ident: ref5 article-title: Pyogenic vertebral osteomyelitis publication-title: Orthop Clin N Am doi: 10.1016/S0030-5898(20)30963-9 contributor: fullname: Staufer R – volume: 45 start-page: 915 issn: 0035-2640 year: 1995 ident: ref8 article-title: Bacterial spondylodiskitis: etiology, diagnosis, development, prognosis, treatment publication-title: Rev Prat contributor: fullname: Larget-Piet B – volume: 38 start-page: 926 issn: 0148-396X year: 1996 ident: ref15 article-title: Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients publication-title: Neurosurgery doi: 10.1097/00006123-199605000-00013 contributor: fullname: Rath S – volume: 303 start-page: 360 issn: 0028-4793 year: 1980 ident: ref6 article-title: Osteomyelitis: the past decade publication-title: N Engl J Med doi: 10.1056/NEJM198008143030703 contributor: fullname: Waldwogel F – volume: 99 start-page: 411 issn: 0022-3476 year: 1981 ident: ref3 article-title: Etiology of osteomyelitis in patients with major sickle hemoglobinopathies publication-title: J Pediatr doi: 10.1016/S0022-3476(81)80330-7 contributor: fullname: Givner L – volume: 11 start-page: 418 issn: 0362-2436 year: 1996 ident: ref7 article-title: Vertebral osteomyelitis: the surgical management of neurological complications publication-title: Spine doi: 10.1097/00007632-198606000-00003 contributor: fullname: Abramovitz J – volume: 4 start-page: 539 year: 1990 ident: ref18 article-title: Vertebral osteomyelitis publication-title: Infect Dis Clin N Am doi: 10.1016/S0891-5520(20)30362-7 contributor: fullname: Sapico F – start-page: 369 volume-title: Doenças Infecciosas year: 1986 ident: ref17 contributor: fullname: Miller O – volume: 42 start-page: 86 year: 1960 ident: ref20 article-title: Acute pyogenic infection of the spine in children publication-title: J Bone Joint Surg doi: 10.1302/0301-620X.42B1.86 contributor: fullname: Pritchard A |
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