Premium
Fatal neck pain in a patient on maintenance hemodialysis
Author(s) -
Salaouatchi Tayeb M.,
Nechita Mariana I.,
Bossu Nicolas,
Collart Frédéric,
Mesquita Maria do Carmo F.
Publication year - 2021
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12884
Subject(s) - spondylodiscitis , medicine , discitis , hemodialysis , vertebral osteomyelitis , surgery , neck pain , fistula , back pain , bacteremia , intensive care medicine , antibiotics , osteomyelitis , radiology , pathology , alternative medicine , biology , magnetic resonance imaging , microbiology and biotechnology
Abstract Infectious spondylodiscitis (IS) is defined as the pathogenic invasion of the vertebrae and intervertebral disks. It is a serious condition that can lead to many complications such as chronic pain, permanent neurological deficits, and even death. Vertebral surgical procedures, invasive urinary tract manipulations, and central line‐associated bloodstream infection are the primary methods by which microorganisms reach the vertebrae and intervertebral disks. Hemodialysis (HD) patients are regularly exposed to bloodstream infections due to long‐term catheter utilization or repeated vascular puncturing in patients with arteriovenous fistula. Due to the high risk of blood stream infections, HD patients have a higher risk of developing IS. Despite advanced diagnostic methods, diagnosis of spondylodiscitis is often delayed due to insidious and nonspecific symptoms, allowing dissemination of the infection, which explains the high level of mortality due to spondylodiscitis in HD patients. The infectious process typically occurs in the thoracic or lumbar region, although cervical IS does occur. We herein report the case of a 67‐year‐old man on HD who developed infectious cervical spondylodiscitis. The diagnosis was established a few days after symptom onset, but the issue was unfortunately fatal despite a well‐conducted antibiotic treatment.