Diagnosis of vertebral osteomyelitis.

IF 1.8 Q3 INFECTIOUS DISEASES Journal of Bone and Joint Infection Pub Date : 2022-01-27 eCollection Date: 2022-01-01 DOI:10.5194/jbji-7-23-2022
Julian Maamari, Aaron J Tande, Felix Diehn, Don Bambino Geno Tai, Elie F Berbari
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引用次数: 10

Abstract

Native vertebral osteomyelitis (NVO) is a potentially fatal infection which has seen a gradual increase in its incidence over the past decades. The infection is insidious, presenting with symptoms of back pain. Fever is present in about 60 % of patients. Prompt diagnosis of NVO is important to prevent the development of complications. Numerous laboratory and imaging tools can be deployed to accurately establish the diagnosis. Imaging techniques such as magnetic resonance, nuclear imaging, and computed tomography are essential in diagnosing NVO but can also be useful in image-guided biopsies. Laboratory tools include routine blood tests, inflammatory markers, and routine culture techniques of aspirated specimens. Recent advances in molecular techniques can assist in identifying offending pathogen(s). In this review, we detail the arsenal of techniques that can be utilized to reach a diagnosis of NVO.

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椎体骨髓炎的诊断。
原生椎体骨髓炎(NVO)是一种潜在的致命感染,其发病率在过去几十年中逐渐增加。这种感染是潜伏的,表现为背部疼痛。约60% %的病人出现发热。及时诊断NVO对于预防并发症的发生非常重要。可以部署许多实验室和成像工具来准确地建立诊断。成像技术,如磁共振、核成像和计算机断层扫描是诊断NVO必不可少的,但在图像引导下的活检中也很有用。实验室工具包括常规血液检查、炎症标记物和抽吸标本的常规培养技术。分子技术的最新进展可以帮助鉴定致病病原体。在这篇综述中,我们详细介绍了可用于诊断NVO的技术库。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
29
审稿时长
12 weeks
期刊最新文献
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