Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Atypical clinical presentation in young, healthy women with pyogenic spondylodiscitis: Case report

5th International Congress on Infectious Diseases

Hsieh Yuan Kuei

Yuan′s General Hospital, Taiwan

Posters & Accepted Abstracts: J Infect Dis Ther

DOI: 10.4172/2332-0877-C1-039

Abstract
Adult patients with spontaneous spondylodiscitis usually present in elderly population with diabetes mellitus or systemic infection. This 29 years old women, previously healthy, reported chronic low back pain with acute exacerbation in five days prior to her visit. The severe pain radiated to right leg and made her disability in walking. There was no fever, no travel history, no contact history, and no wound. Neurologic examination revealed right L4/5 dermatome paresthesia and her muscle power was full over four extremities. The lab data showed leukocytosis and elevated C reactive protein level. The dynamic plain film of lumbar spine showed L4/5 spondylolisthesis. The Magnetic Resonance Imaging of lumbar spine showed mild L4/5 degenerative spondylolisthesis and diffuse posterior herniated disc, with right lateral ruptured sequestrum compromising L4 foramino-outlet nerve root. She was admitted to general ward and she received laminectomy and facetectomy then. During operation, purulent material was collected. The lumbar spine specimen and blood culture both identified methicillin-resistant Staphylococcus aureus. She received vancomycin then. Trace back her history, she worked as a nurse and denied any Intravenous drug abuse. The survey for HIV and autoimmune disease were also negative finding. There was no evidence of infective endocarditis by transthoracic echocardiography. The clinical presentation in this case was atypical in two aspects. First, the relative young age was not fit in bimodal distribution in spondylodiscitis; second, she did not have any related comorbities.
Biography

Hsieh Yuan Kuei has completed his Medical Training at Taipei Medical University and Resident Training as Neurosurgeon at Chi Mei Hospital. He got his Master degree at Taipei Medical University.
Email:claire17@cgmh.org.tw

Top