Skip to Main content Skip to Navigation
New interface
Journal articles

Infections rachidiennes de l’adulte autres que la spondylodiscite : l’envers des corps vertébraux

Abstract : Spinal infections other than vertebral osteomyelitis are mainly represented by facet joint septic arthritis (FJSA). The clinical presentation most often mimics vertebral osteomyelitis. The diagnosis is made by MRI, which sometimes shows abscesses of the adjacent soft tissues (muscular and epidural). Bacteriological documentation by blood cultures is usually sufficient, but a scan-guided puncture or even surgical management is sometimes necessary. Neurological deficit is the main complication of FJSA and requires urgent surgical management. Appropriate antibiotic therapy, most often against methicillin sensitive Staphylococcus aureus, is generally maintained for 6 to 12 weeks. The total duration of treatment is not recommended and depends on the presence or absence of a medically or surgically treated epidural abscess and the causative bacteria. Isolated and spontaneous epidural abscess is another spinal infection that can mimic the clinical presentation of spondylodiscitis and ASIA. Its management requires a surgical opinion, as it often leads to deficits.
Complete list of metadata

https://hal-univ-rennes1.archives-ouvertes.fr/hal-03520767
Contributor : Laurent Jonchère Connect in order to contact the contributor
Submitted on : Wednesday, March 30, 2022 - 1:28:02 PM
Last modification on : Wednesday, March 30, 2022 - 1:28:03 PM

File

Cadiou et al-2021-Infections r...
Files produced by the author(s)

Licence


Distributed under a Creative Commons Attribution - NonCommercial 4.0 International License

Identifiers

Collections

Citation

Simon Cadiou, Rachel Tuil, Géraldine Bart, Yann Breton. Infections rachidiennes de l’adulte autres que la spondylodiscite : l’envers des corps vertébraux. Revue du Rhumatisme monographies, 2022, ⟨10.1016/j.monrhu.2021.11.003⟩. ⟨hal-03520767⟩

Share

Metrics

Record views

37

Files downloads

4