Open AccessFEATURES OF CLINICAL MANIFESTATIONS AND COURSE OF PYOINFLAMMATORY DISEASES OF THE SPINE
Author(s) -
V. I. Petuhov,
К. М. Кубраков,
A. V. Kornilov,
В. К. Окулич,
V. A. Migunova
Publication year - 2018
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2018-15-2-7
Subject(s) - medicine , spondylodiscitis , leukocytosis , thoracic spine , physical examination , back pain , lumbar , surgery , pathology , alternative medicine
Objective: to study the features of the clinical course of purulent spondylodysitis (SD). Material and methods . We have studied the general somatic and neurological status, the results of laboratory tests and instrumental methods of examination of 35 patients with SD. The median age of the patients was 57 years, 57.14 % were men, 42.86 % were women. Results. Spondylodiscitis of the cervical spine was detected in 3 (8.57%) patients, thoracic - in 14 (40 %) and lumbar - in 18 (51.43 %). Leukocytosis with a left shift and increased ESR are characteristic changes in general blood test in 100 % SD cases. Conclusion. Severe back pain (100 %), fever (80 %), and neurologic deficit (42.86 %) as motor disorders are the main clinical symptoms in patients with SD. S. aureus in 62.5% cases is the causative agent of SD and has a moderate ability to form biofilms. The presence of available abscesses in SD is an indication for their puncture under the supervision of ultrasound followed by bacteriological study before the beginning of antibiotic therapy. Сarbapenems are the most effective antibacterial drugs for SD.