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Hematogenous cervical spondylodiscitis after severe burn injury
- Source :
- Burns : journal of the International Society for Burn Injuries. 27(8)
- Publication Year :
- 2001
-
Abstract
- A 47-year-old man sustained a 31% TBSA burn injury. In spite of early escharectomy and mesh-graft-transplantation the patient suffered a septicaemic phase in the first week, which was treated by a specific antibiotic. Five weeks after the burn injury a cervical spondylodiscitis was diagnosed. Immediate wound debridement, ventral and dorsal spondylodesis with a tricortical bone-graft from the left iliac crest and titanium plates and specific antibiotic therapy led to the stabilization and healing of the cervical spinal column. The spondylodiscitis was microbiologically proved to be hematogenous after spread of Staphylococcus aureus from the blood in the early septicaemic phase. Swab culture from the burn surface wound, infected vertebrae and blood during the septicaemic phase revealed coagulase positive S. aureus. The aetiology, predisposing factors and management of this rare, but recognized, complication of major burns are discussed. Case features of this patient are compared with the single site's reported case of hematogenous cervical spondylodiscitis after severe burn injury.
- Subjects :
- Spondylodiscitis
Male
medicine.medical_specialty
Burn injury
Discitis
medicine.drug_class
Antibiotics
Critical Care and Intensive Care Medicine
Risk Assessment
Injury Severity Score
Sepsis
medicine
Humans
Spondylitis
business.industry
General Medicine
Skin Transplantation
Middle Aged
Staphylococcal Infections
medicine.disease
Combined Modality Therapy
Surgery
Anti-Bacterial Agents
Spinal Fusion
Orthopedic surgery
Emergency Medicine
Etiology
Cervical Vertebrae
Coagulase
business
Complication
Burns
Follow-Up Studies
Subjects
Details
- ISSN :
- 03054179
- Volume :
- 27
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Burns : journal of the International Society for Burn Injuries
- Accession number :
- edsair.doi.dedup.....56876bdc52efc224347af23b77d12e71