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首页> 外文期刊>Reumatologia >Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties
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Spondylodiscitis developing in a young man – diagnostic and therapeutic difficulties

机译:一名年轻人患上脊柱椎间盘炎-诊断和治疗困难

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Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a?combination of clinical, radiological, and laboratory findings. Magnetic resonance tomography (MRI) has high sensitivity and specificity in diagnosis and differentiation of the type of spondylodiscitis and may reveal signs of spondylodiscitis even in very early stages. Infectious spondylodiscitis responds to antimicrobial therapy well if diagnosed early before development of neurological deficit and requirement of surgical intervention. We present a?clinical case of spondylodiscitis developing in a?young immunocompetent man without any predisposing factors.
机译:传染性脊椎炎的特征是椎骨骨髓炎,脊柱炎和椎间盘炎。患者表现出持续的下背部疼痛,发烧或神经系统症状。结合临床,放射学和实验室检查结果进行诊断。磁共振断层扫描(MRI)在诊断和鉴别脊椎盘炎类型方面具有很高的敏感性和特异性,甚至在很早的时期就可能显示出脊椎盘炎的体征。如果在神经功能缺损和需要手术干预之前就被诊断出,传染性脊椎炎对抗生素治疗反应良好。我们提出了一个年轻的有免疫能力的人发生脊椎盘炎的临床病例,没有任何诱因。

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