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Description

Jean et al studied patients with pyogenic vertebral osteomyelitis and considered reasons for a delay in diagnosis. The authors are from multiple institutions in France.


Patient selection: pyogenic vertebral osteomyelitis (50% Staphylococcus)

 

The patient typically presents with back pain.

 

Diagnosis can be a challenge if:

(1) the patient is afebrile and symptoms vague

(2) routine X-rays are not diagnostic

 

Clues to diagnosis:

(1) serum C-reactive protein (CRP) > 63 mg/L

(2) positive blood culture

 

MRI of the spine can help identify foci of infection.


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