Discitis: Difference between revisions
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==Background== | ==Background== | ||
*Infection of nucleus pulposus due to infection of vertebral body | *Also spelled as Discitis, and is an infection in the intervertebral disc space but also occurs post surgically in approximately 1-2 percent of patients after spinal surgery. | ||
*Risk Factors: peds, post-op, immunocompromised | *Infection of nucleus pulposus due to infection of vertebral body end-plate cartilage | ||
*Risk Factors: peds (age < 8yo), post-op, immunocompromised | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 18:06, 6 April 2015
Background
- Also spelled as Discitis, and is an infection in the intervertebral disc space but also occurs post surgically in approximately 1-2 percent of patients after spinal surgery.
- Infection of nucleus pulposus due to infection of vertebral body end-plate cartilage
- Risk Factors: peds (age < 8yo), post-op, immunocompromised
Clinical Features
- >90% p/w unremitting back or neck pain which awakens them at night
- Fever (60-70%)
- Neuro deficits (10-50%)
- ESR elevation (>90%)
- Leukocytosis (<50%)
Diagnosis
- Labs
- ESR elevated
- Imaging
- Plain films are rarely positive
- MRI is gold standard
Treatment
- IV abx
Disposition
- Admit to spine service
Source
- Rosen's
- Tintinalli