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A Comparative Study of Pyogenic and Tuberculous Spondylodiscitis
DC Field | Value | Language |
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dc.contributor.author | Kim, Chung-Jong | - |
dc.contributor.author | Song, Kyoung-Ho | - |
dc.contributor.author | Jeon, Jae-Hyun | - |
dc.contributor.author | Park, Wan Beom | - |
dc.contributor.author | Kim, Hong-Bin | - |
dc.contributor.author | Choe, Kang Won | - |
dc.contributor.author | Kim, Nam Joong | - |
dc.contributor.author | Oh, Myoung-don | - |
dc.contributor.author | Park, Sang Won | - |
dc.date.accessioned | 2012-06-28T00:22:42Z | - |
dc.date.available | 2012-06-28T00:22:42Z | - |
dc.date.issued | 2010-10-01 | - |
dc.identifier.citation | SPINE; Vol.35 21; E1096-E1100 | ko_KR |
dc.identifier.issn | 0362-2436 | - |
dc.identifier.uri | https://hdl.handle.net/10371/77681 | - |
dc.description.abstract | Study Design. We performed a retrospective review of 126 cases of infectious spondylodiscitis over a 4-year period. Objective. Differentiation between pyogenic spondylodiscitis (PS) and tuberculous spondylodiscitis (TS) is essential for deciding on the appropriate therapeutic regimen. The aim of this study was to compare the characteristics of the 2 forms of spondylodiscitis. Summary of Background Data. There has been much effort to distinguish the radiologic findings in PS versus TS, but classification based on radiologic findings alone had limitations yet. Methods. We compared the predisposing factors or associated illnesses, clinical, radiologic, and laboratory features of microbiologically confirmed cases of PS and TS in 2 university hospitals. Results. Of 126 patients, 79 had PS and 47 TS. PS was more frequently associated with the followings: previous invasive spinal procedures (PS vs. TS: 32.9% vs. 8.5%), preceding bacteremia (13.9% vs. 0%), chronic renal failure (12.7% vs. 0%), liver cirrhosis (13.9% vs. 0%), fever (temperature >38 degrees C) (48.1% vs. 17.0%), white blood cell counts over 10,000/mm(3) (41.8% vs. 19.1%), fraction of neutrophils >75% (49.4% vs. 27.7%), C-reactive protein levels over 5 mg/dL (58.2% vs. 27.7%), erythrocyte sedimentation rate levels over 40 mm/h (84.4% vs. 66.0%), and ALP levels over 120 IU/L (45.6% vs. 17.0%). TS was frequently associated with active tuberculosis of other organs (0% vs. 31.9%), longer diagnostic delay (47.6 vs. 106.3 days), involvement of thoracic spines (21.5% vs. 38.3%), and involvement of >= 3 spinal levels (11.4% vs. 36.2%). Conclusion. Previous invasive spinal procedures, preceding bacteremia, fever, higher white blood cell counts, C-reactive protein, ALP, and higher fraction of neutrophils are suggestive of PS. Concurrent active tuberculosis, more indolent course and involvement of thoracic spines are suggestive of TS. When the causative organism is not identified despite all efforts at diagnosis, combination of the clinical, radiologic, and laboratory characteristics of the patient is helpful. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | ko_KR |
dc.subject | spondylitis | ko_KR |
dc.subject | discitis | ko_KR |
dc.subject | pyogenic | ko_KR |
dc.subject | tuberculosis | ko_KR |
dc.title | A Comparative Study of Pyogenic and Tuberculous Spondylodiscitis | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 김정종 | - |
dc.contributor.AlternativeAuthor | 송경호 | - |
dc.contributor.AlternativeAuthor | 전재현 | - |
dc.contributor.AlternativeAuthor | 박완범 | - |
dc.contributor.AlternativeAuthor | 박상원 | - |
dc.contributor.AlternativeAuthor | 김홍빈 | - |
dc.contributor.AlternativeAuthor | 최강원 | - |
dc.contributor.AlternativeAuthor | 김남중 | - |
dc.contributor.AlternativeAuthor | 오명돈 | - |
dc.identifier.doi | 10.1097/BRS.0b013e3181e04dd3 | - |
dc.citation.journaltitle | SPINE | - |
dc.description.citedreference | Luzzati R, 2009, J INFECTION, V58, P259, DOI 10.1016/j.jinf.2009.02.006 | - |
dc.description.citedreference | Song KH, 2009, DIAGN MICR INFEC DIS, V63, P182, DOI 10.1016/j.diagmicrobio.2008.10.013 | - |
dc.description.citedreference | Yang SC, 2008, CLIN ORTHOP RELAT R, V466, P3086, DOI 10.1007/s11999-008-0441-y | - |
dc.description.citedreference | Pintado-Garcia V, 2008, ENFERM INFEC MICR CL, V26, P510, DOI 10.1157/13127458 | - |
dc.description.citedreference | Hernandez PLM, 2008, REV CLIN ESP, V208, P347 | - |
dc.description.citedreference | Cottle L, 2008, J INFECTION, V56, P401, DOI 10.1016/j.jinf.2008.02.005 | - |
dc.description.citedreference | Enoch DA, 2008, J CLIN PATHOL, V61, P750, DOI 10.1136/jcp.2007.054296 | - |
dc.description.citedreference | Kumar R, 2008, CLIN MICROBIOL REV, V21, P209, DOI 10.1128/CMR.00025-07 | - |
dc.description.citedreference | Kim SH, 2007, ARCH INTERN MED, V167, P2255 | - |
dc.description.citedreference | DELPOZO JSG, 2007, J INFECTION, V54, P129 | - |
dc.description.citedreference | Butler JS, 2006, SPINE, V31, P2695 | - |
dc.description.citedreference | Chang MC, 2006, SPINE, V31, P782 | - |
dc.description.citedreference | Michel SCA, 2006, AM J ROENTGENOL, V186, P977, DOI 10.2214/AJR.05.0109 | - |
dc.description.citedreference | Tsiodras S, 2006, CLIN ORTHOP RELAT R, P38, DOI 10.1097/01.blo.0000203454.82264.cd | - |
dc.description.citedreference | Park MY, 2005, J KOREAN MED SCI, V20, P941 | - |
dc.description.citedreference | Govender S, 2005, J BONE JOINT SURG BR, V87B, P1454, DOI 10.1302/0301-620X.87B11.16294 | - |
dc.description.citedreference | Yano S, 2005, ENDOCRINOLOGY, V146, P2324, DOI 10.1210/en.2005-0065 | - |
dc.description.citedreference | Pui MH, 2005, J NEUROIMAGING, V15, P164, DOI 10.1177/1051228404274306 | - |
dc.description.citedreference | Jung NY, 2004, AM J ROENTGENOL, V182, P1405 | - |
dc.description.citedreference | Colmenero JD, 2004, EUR J CLIN MICROBIOL, V23, P477, DOI 10.1007/s10096-004-1148-y | - |
dc.description.citedreference | MANN S, 2004, NEUROSURG FOCUS, V17, pE3 | - |
dc.description.citedreference | Bendre MS, 2003, BONE, V33, P28, DOI 10.1016/S8756-3282(03)00086-3 | - |
dc.description.citedreference | Wright KM, 2002, J BONE MINER RES, V17, P1680 | - |
dc.description.citedreference | McHenry MC, 2002, CLIN INFECT DIS, V34, P1342 | - |
dc.description.citedreference | Chew FS, 2001, RADIOLOGY, V218, P211 | - |
dc.description.citedreference | CALVO JM, 2000, ENFERM INFEC MICR CL, V18, P452 | - |
dc.description.citedreference | Jimenez-Mejias ME, 1999, CLIN INFECT DIS, V29, P339 | - |
dc.description.citedreference | GRAVES DT, 1999, FRONT BIOSCI, V4, P571 | - |
dc.description.citedreference | Colmenero JD, 1997, ANN RHEUM DIS, V56, P709 | - |
dc.description.citedreference | Meghji S, 1997, J EXP MED, V186, P1241 | - |
dc.description.citedreference | Kapeller P, 1997, EUR NEUROL, V38, P94 | - |
dc.description.citedreference | Rieneck K, 1996, APMIS, V104, P755 | - |
dc.description.citedreference | Nair SP, 1996, INFECT IMMUN, V64, P2371 | - |
dc.description.citedreference | PERRONNE C, 1994, CLIN INFECT DIS, V19, P746 | - |
dc.description.citedreference | BUCHELT M, 1993, CLIN ORTHOP RELAT R, P192 | - |
dc.description.citedreference | SAPICO FL, 1979, REV INFECT DIS, V1, P754 | - |
dc.description.tc | 3 | - |
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