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Puljiz, Ivan; Topic, Antea
The Lancet infectious diseases, February 2018, 2018-02-00, 20180201, Letnik: 18, Številka: 2Journal Article
...some differential MRI findings in favour of tuberculous spondylodiscitis have been suggested such as involvement of more than two vertebral bodies, thoracic spine involvement, severe vertebral destruction, mild disc destruction, a thin and smooth abscess wall, and subligamentous spread to three or more vertebral levels.2,3 In our Clinical Picture,1 MRI of the patient's lumbosacral spine showed high signal intensity of the vertebral disc and vertebral body at the L4 and L5 levels with an epidural abscess and granulation tissue; such findings are described in both tuberculous and pyogenic spondylodiscitis. The American Thoracic Society and the Centers for Disease Control and Prevention advocate treatments of 6-9 months for adults and 12 months for children with uncomplicated tuberculous spondylodiscitis caused by a fully sensitive M tuberculosis isolate.4 In our Clinical Picture,1 the patient's improvement started 10 days after the beginning of treatment, followed by a complete clinical recovery and return of systemic inflammatory markers to normal concentrations. 2 months after treatment in hospital, the follow-up MRI showed significant regression of the epidural abscess, which would have been highly improbable in tuberculous spondylodiscitis. ...in our opinion, the results suggest that C jejuni caused spondylodiscitis in the patient.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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