Journal of Clinical Case Reports

Carnevale L

Publications

• Case Report
  Picked Up by a Wasp? Watch Out the Spine! A Case of Multifocal Pyogenic Spondylodiscitis
  Author(s): Geniere Nigrag S, Casazza A, Carnevale L and Ricevuti GGeniere Nigrag S, Casazza A, Carnevale L and Ricevuti G
  
  Introduction: spondylodiscitis represents 3-5% of all cases of osteomyelitis. S. aureus is isolated in 50% of cases. Mortality ranges is 0-11%. Disability may occur. Diagnosis is often a challenge. Lumbar spine is preferentially affected with multifocal involvement in 4% cases. Septic shock mortality rate is high (22-76%). Purpose: to describe a case of septic shock due to pyogenic multifocal spondylodiscitis successfully-treated in Intensive Care Unit (ICU). Methods: 63-year-old woman presented in Emergency Department complaining 7 days back pain, weakness and diarrhea. Clinical setting suggested intra-abdominal infection. Rapid hemodynamic derangement required ICU transfer to treat septic shock and multiple organ failure. Cerebrospinal fluid (CSF) analysis showed normal count cells and hyperproteinorachia. Methicillin-sensitive S. aureus (M.. Read More»
  DOI: 10.4172/2165-7920.1000627

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