Spondylodiscitis: evaluation of patients in a tertiary hospital

  • Safak Kaya Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
  • Serdar Ercan Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
  • Sehmuz Kaya Van Training and Research Hospital, Van, Turkey
  • Ulas Aktas Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
  • Kagan Kamasak Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
  • Hakan Ozalp Acibadem Hospital, Ankara, Turkey
  • Kadir Cinar Sehitkamil State Hospital, Gaziantep, Turkey
  • Recai Duymus Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
  • Mehmet Gazi Boyaci Afyon Kocatepe University Faculty of Medicine, Afyon, Turkey
  • Nesrin Akkoyun Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey
  • Ahmet Emre Eskazan Division of Hematology, Istanbul University Cerrahpasa Faculty of Medicine, Turkey
  • Hakan Temiz Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Keywords: spondylodiscitis, brucellosis, tuberculous, pyogenic, postoperative

Abstract

Introduction: Spondylodiscitis (SD) is an uncommon but important infection. The aim of this work was to study the risk factors, bacteriological features, clinical, laboratory and radiological findings of SD, and to shed light on the initial treatment.

Methodology: A total of 107 patients who underwent treatment for SD were evaluated. The diagnosis of SD was defined by clinical findings, complete blood count, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), serum tube agglutination (STA) test, Ziehl-Neelsen staining, culture, histopathology, and radiological methods such as magnetic resonance imaging (MRI) and computed tomography (CT) scans.

Results: Of the 107 cases, ranging between 17 to 83 years of age, 64 (59.8%) were male. Twenty-seven (25.2%) patients had diabetes mellitus. Laboratory investigations revealed elevated CRP in 70 (65%) patients, elevated ESR in 65 (61%) patients, and elevated white blood cell (WBC) counts in 41 (38.3%) patients. Thirty-six (33.6%) patients were identified as having brucellar SD, and 5 (4.7%) patients were identified as having tuberculous SD. A total of 66 (61.6%) patients were determined to have pyogenic SD. The most frequently isolated microorganism was Staphylococcus aureus. Antibiotic therapy was given intravenously to all pyogenic SD patients.

Conclusions: The incidence of SD has increased as a result of the higher life expectancy of older patients with chronic debilitating diseases and the increase of spinal surgical procedures. In patients with low back pain, SD should be considered as a diagnosis. For effective treatment, it is important to determine the etiology of the disease.

Author Biographies

Safak Kaya, Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Department of Infectious Diseases
Serdar Ercan, Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Department of Neurosurgery
Sehmuz Kaya, Van Training and Research Hospital, Van, Turkey
Department of Orthopaedic Surgery
Ulas Aktas, Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Department of Neurosurgery
Kagan Kamasak, Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Department of Neurosurgery
Hakan Ozalp, Acibadem Hospital, Ankara, Turkey
Department of Neurosurgery
Kadir Cinar, Sehitkamil State Hospital, Gaziantep, Turkey
Department of Neurosurgery
Recai Duymus, Diyarbakir Training and Research Hospital, Diyarbakir, Turkey
Department of Radiology
Mehmet Gazi Boyaci, Afyon Kocatepe University Faculty of Medicine, Afyon, Turkey
Department of Neurosurgery
Nesrin Akkoyun, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey
Department of Neurosurgery
Published
2014-10-15
How to Cite
1.
Kaya S, Ercan S, Kaya S, Aktas U, Kamasak K, Ozalp H, Cinar K, Duymus R, Boyaci MG, Akkoyun N, Eskazan AE, Temiz H (2014) Spondylodiscitis: evaluation of patients in a tertiary hospital. J Infect Dev Ctries 8:1272-1276. doi: 10.3855/jidc.4522
Section
Original Articles