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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1995-2-1
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pubmed:abstractText |
Bacterial spondylodiskitis--i.e., adjacent vertebral osteomyelitis and diskitis--was studied in 80 adult patients. The infection was due to Mycobacterium tuberculosis in 31 cases (39%) and to pyogenic bacteria in 49 cases (61%). The latter pathogens included gram-negative bacilli in 16 cases (20%), Staphylococcus species in 15 (19%), Streptococcus species in 9 (11%), and Corynebacterium species in 1 (1%); the pathogens in the 8 remaining cases (10%) were not identified. Of the patients with tuberculous spondylodiskitis, 55% came from countries where tuberculosis is endemic (P < .001). Cases due to staphylococci and those due to M. tuberculosis were associated with a high frequency of previous active infection with those respective organisms at any site (47% and 42%, respectively; P < .001) and with a high rate of neurological complications (33% and 32%, respectively; P < .001). Nine patients with pyogenic spondylodiskitis (18%) but only one patient with tuberculous spondylodiskitis (3%) had diabetes mellitus (P < .05). Blood cultures were positive in 23 (56%) of the 41 cases of pyogenic spondylodiskitis due to an identified bacterium. Discovertebral needle biopsy contributed to the bacteriologic diagnosis in 29 (74%) of 39 cases.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1058-4838
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
746-50
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:7803642-Adult,
pubmed-meshheading:7803642-Aged,
pubmed-meshheading:7803642-Bacteriological Techniques,
pubmed-meshheading:7803642-Biopsy, Needle,
pubmed-meshheading:7803642-Discitis,
pubmed-meshheading:7803642-Female,
pubmed-meshheading:7803642-Gram-Negative Bacterial Infections,
pubmed-meshheading:7803642-Humans,
pubmed-meshheading:7803642-Intervertebral Disc,
pubmed-meshheading:7803642-Male,
pubmed-meshheading:7803642-Middle Aged,
pubmed-meshheading:7803642-Osteomyelitis,
pubmed-meshheading:7803642-Retrospective Studies,
pubmed-meshheading:7803642-Staphylococcal Infections,
pubmed-meshheading:7803642-Streptococcal Infections,
pubmed-meshheading:7803642-Tuberculosis, Spinal
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pubmed:year |
1994
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pubmed:articleTitle |
Pyogenic and tuberculous spondylodiskitis (vertebral osteomyelitis) in 80 adult patients.
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pubmed:affiliation |
Department of Infectious and Tropical Diseases, Hôpital Bichat-Claude Bernard, Paris, France.
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pubmed:publicationType |
Journal Article
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