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Nefrología (Madrid)
versão On-line ISSN 1989-2284versão impressa ISSN 0211-6995
Resumo
RAMIREZ-HUARANGA, Marco A. et al. Spondylodiscitis, nephrology department's experience. Nefrología (Madr.) [online]. 2013, vol.33, n.2, pp.250-255. ISSN 1989-2284. https://dx.doi.org/10.3265/Nefrologia.pre2012.Oct.11587.
Spondylodiscitis is an infection of the vertebral body and adjacent intervertebral discs, in which hematogenous spread is by far the most common cause. This is a rare disease but its overall incidence is increasing, due mainly to increased bacteremia in patients with intravascular catheter as it is used in hemodialysis, being Staphylococcus aureus the most common organism. The diagnosis is difficult because of nonspecific symptoms. The use of magnetic resonance imaging allows an early and accurate diagnosis. The early empirical antibiotic treatment may improve the outcome of this potentially catastrophic infection, so it requires the collaboration of a multidisciplinary team of physicians to optimal therapy. We report a case series of spondylodiscitis diagnosed in our Nephrology Unit.
Palavras-chave : Spondylodiscitis; Back pain; Haemodyalisis; Intravascular catheter.