scholarly journals Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman

2019 ◽  
Vol 11 (3) ◽  
pp. 299-303
Author(s):  
Kenta Ikeda ◽  
Yasuhiro Manabe ◽  
Shunya Fujiwara ◽  
Yoshio Omote ◽  
Hisashi Narai ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young Woman ◽  
Signal Intensity ◽  
Oral Antibiotic ◽  
Low Back ◽  
Pyogenic Spondylodiscitis ◽  
Healthy Young Woman ◽  
Campylobacter Fetus ◽  
Intensity Lesion

We report a rare case of Campylobacter fetus meningitis and pyogenic spondylodiscitis in a healthy young woman. A 35-year-old woman without significant medical history presented with fever, headache, and low back pain. C. fetus was detected from the blood culture. Cerebrospinal fluid analysis showed bacterial meningitis 2 days after onset. Although initial magnetic resonance imaging (MRI) did not reveal abnormal findings, repeated MRI showed a low-signal-intensity lesion on T1-weighted image (T1WI) and a high-signal-intensity lesion on T2WI between the L5 and S1 vertebral bodies 11 days after onset. The mode of infection was considered to be the consumption of raw chicken meat. After antibiotic treatment with 12 g/day ampicillin following 6 g/day meropenem, she was discharged 51 days after onset. As the inflammatory signs on MRI improved, oral antibiotic therapy was discontinued 85 days after onset. Although the initial MRI showed no abnormal findings, repeat MRI should be performed for patients who have persistent low back pain and fever.

A young woman with fever and low back pain

2017 ◽  
Vol 34 (5) ◽  
pp. 346-346
Author(s):  
Yasuhiro Suyama ◽  
Hiroyuki Inaba ◽  
Ryota Inokuchi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young Woman ◽  
Low Back

scholarly journals Chronic low back pain, Modic changes and low-grade virulent infection: efficacy of antibiotic treatment

2021 ◽  
pp. FSO703
Author(s):  
Claus Manniche ◽  
Gerard M Hall
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Antibiotic Treatment ◽  
Chronic Low Back Pain ◽  
Modic Changes ◽  
Controlled Study ◽  
Low Grade ◽  
Oral Antibiotic ◽  
Low Back

Chronic low back pain (CLBP) has consistently been associated with the longest number of years lived with a disability in global studies, while commonly used treatments for CLBP are largely ineffective. In 2013 a randomized, double-blind, controlled study demonstrated significant improvements in CLBP patients demonstrating Modic changes type 1 on their MRI scans and undergoing long-term oral antibiotic treatment (100 days). Much of the ensuing debate has focused on whether this was a true infection or contamination. Newer and more advanced technologies clearly point to an ongoing low-grade infection. We have reviewed all of the clinical trials published in the recent past and conclude that there is compelling evidence for the effect of long-term oral antibiotic treatment for this patient group.

CT-Diskography, Diskomanometry and MR Imaging as Predictors of the Outcome of Lumbar Percutaneous Automated Nucleotomy

1995 ◽  
Vol 36 (4-6) ◽  
pp. 613-619 ◽  
Author(s):  
R. Dullerud ◽  
T. Amundsen ◽  
H. Lie ◽  
N. G. Juel ◽  
B. Magnæs
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Mr Imaging ◽  
Prospective Study ◽  
Signal Intensity ◽  
Pain Response ◽  
Low Back ◽  
Short History ◽  
Noninvasive Methods ◽  
History Of

Purpose: This prospective study was performed to assess whether CT-diskography (CT-D), diskomanometry (DMM) including recording of the pain response, or the MR signal intensity of the disks are reliable predictors of the outcome of nucleotomy. Material and Methods: Ninety-one patients, 44 females and 47 males aged 18–68 years (mean 37.4) treated at 99 disk levels were included. All had plain CT, MR imaging, CT-D and DMM performed prior to automated percutaneous nucleotomy with the Nucleotome R system. Results: Sixty-nine (76%) of the patients responded well to treatment within 3 months. Due to recurrences, the success rate at 1 year was reduced to 65%. Except for better results following nucleotomy in patients with similar and identical pain as the presenting complaint provoked at diskography, no association was demonstrated between diskographic parameters, or loss of signal on MR, and the outcome. Better results were also seen in patients with a short history of disk disease, but not in patients with predominantly sciatica and focal hernias compared to those with predominantly low-back pain and diffuse posterior bulges. Conclusion: The results do not justify routine use of diskography prior to nucleotomy in patients with pathologic disks demonstrated by noninvasive methods and localizing sciatic pain.

scholarly journals Low back pain in a diabetic on chronic haemodialysis: pyogenic spondylodiscitis

2014 ◽  
Vol 2014 (apr30 2) ◽  
pp. bcr2014204128-bcr2014204128 ◽  
Author(s):  
K. Ramcharan ◽  
L. Conyette ◽  
B. Mohammed ◽  
R. Narine
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Haemodialysis ◽  
Low Back ◽  
Pyogenic Spondylodiscitis

FDA Panel Okays Duloxetine for Low Back Pain

2010 ◽  
Vol 43 (14) ◽  
pp. 4
Author(s):  
ELIZABETH MECHCATIE
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back
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