Vertebral osteomyelitis - Revision history

ClaireLewis at 17:03, 3 October 2019

2019-10-03T17:03:40Z

← Older revision		Revision as of 17:03, 3 October 2019
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	==Clinical Features==		==Clinical Features==
	*Usually have had prolonged symptoms (pain >3mo)		*Usually have had prolonged symptoms (pain >3mo)
	*At risk for recent bacteremia		*At risk for recent [[bacteremia]]
	*Fever is a feature - however, often '''afebrile'''		*[[Fever]] is a feature - however, often '''afebrile'''
	*Vertebral body tenderness		*Vertebral body tenderness
	*Paravertebral muscle spasm ~~unreponsive~~ to conservative therapy		*Paravertebral muscle spasm unresponsive to conservative therapy
	*Paravertebral or ~~epidural~~ [[abscess]] may develop		*Paravertebral or [[epidural abscess (spinal)\|epidural abscess]] may develop

	==Differential Diagnosis==		==Differential Diagnosis==

2019-07-04T03:48:45Z

Text replacement - "vancomycin " to "vancomycin "

← Older revision		Revision as of 03:48, 4 July 2019
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	**Usually requires IV antibiotic x6wk, then PO antibiotic x 4-8wk		**Usually requires IV antibiotic x6wk, then PO antibiotic x 4-8wk
	**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)		**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)
	**[[Piperacillin-tazobactam]] 3.375gm IV + vancomycin 1gm IV		**[[Piperacillin-tazobactam]] 3.375gm IV + [[vancomycin]] 1gm IV

	==Disposition==		==Disposition==

2017-07-20T22:34:23Z

Text replacement - "==References== " to "==References== <references/> "

2017-03-10T14:04:02Z

Text replacement - "abscess " to "abscess "

← Older revision		Revision as of 14:04, 10 March 2017
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	*Vertebral body tenderness		*Vertebral body tenderness
	*Paravertebral muscle spasm unreponsive to conservative therapy		*Paravertebral muscle spasm unreponsive to conservative therapy
	*Paravertebral or epidural abscess may develop		*Paravertebral or epidural [[abscess]] may develop

	==Differential Diagnosis==		==Differential Diagnosis==

2016-09-08T14:13:28Z

Text replacement - "vanco " to "vancomycin "

← Older revision		Revision as of 14:13, 8 September 2016
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	**Usually requires IV antibiotic x6wk, then PO antibiotic x 4-8wk		**Usually requires IV antibiotic x6wk, then PO antibiotic x 4-8wk
	**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)		**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)
	**[[Piperacillin-tazobactam]] 3.375gm IV + ~~vanco~~ 1gm IV		**[[Piperacillin-tazobactam]] 3.375gm IV + vancomycin 1gm IV

	==Disposition==		==Disposition==

2016-07-26T14:11:10Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-14T03:03:01Z

Text replacement - "abx" to "antibiotic"

← Older revision		Revision as of 03:03, 14 July 2016
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	==Management==		==Management==
	*[[Antibiotics]]		*[[Antibiotics]]
	**Usually requires IV ~~abx~~ x6wk, then PO ~~abx~~ x 4-8wk		**Usually requires IV antibiotic x6wk, then PO antibiotic x 4-8wk
	**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)		**Consult with spine surgeon before starting antibiotics (may interfere with biopsy culture)
	**[[Piperacillin-tazobactam]] 3.375gm IV + vanco 1gm IV		**[[Piperacillin-tazobactam]] 3.375gm IV + vanco 1gm IV

2016-07-10T04:18:28Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 04:18, 10 July 2016
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	**Bony destruction, irregularity of vertebral end places, disk space narrowing		**Bony destruction, irregularity of vertebral end places, disk space narrowing

	==~~Treatment~~==		==Management==
	*[[Antibiotics]]		*[[Antibiotics]]
	**Usually requires IV abx x6wk, then PO abx x 4-8wk		**Usually requires IV abx x6wk, then PO abx x 4-8wk

2016-03-22T15:47:16Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T14:14:23Z

Text replacement - "Category:Neuro" to "Category:Neurology"