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Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae.

Andrychowski J, Jasielski P, Netczuk T, Czernicki Z - Eur Spine J (2012)

Bottom Line: After therapy neurological status was improved.Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection.Proper targeted and long-term antibiotic therapy is crucial.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland. j.andrychowski@wp.pl

ABSTRACT

Objectives: Erysipelas is an animal disease caused by Gram-positive bacteria Erysipelothrix rhusiopathiae. Among the domestic animals, domestic pig (Sus scrofa f. domestica) suffers most frequently from the disease in human environment. This is a typical animal-borne disease observed mainly in occupational groups employed in agriculture, farming (of animals and birds), fishing and manufacturing industry.

Methods: We are presenting the clinical course of infection (E. rhusiopathiae) and discuss clinical forms. E. rhusiopathiae in humans may have the following clinical course: mild form of skin infection diagnosed as local erythema (erysipeloid), disseminated form of skin infection and the most serious form of infection of systemic course (endocarditis and sepsis). Mild skin infection and local erythema are the most common forms. Very rare case of animal-borne infection course has been presented in which after initial phase the disease was generalised to the abscesses formation in paravertebral space, spondylitis and empyema formation in spinal canal. In the presented clinical case, the patient was suffering from diabetes. It was probably an additional risk factor of the disease generalisation. Patient underwent drainage of empyema in spinal canal, after which his neurological status gradually improved. Antibiotic therapy was implemented and continued for 8 weeks. Such course of erysipelas was not previously described in the literature.

Results: After therapy neurological status was improved. In follow MRI control exam empyema and spondylitis was successfully eliminated.

Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.

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Related in: MedlinePlus

The follow-up MRI examination with contrast after 14 months post operation. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5
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Fig5: The follow-up MRI examination with contrast after 14 months post operation. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5

Mentions: A follow-up MRI scan was performed within 16 months postoperatively. There was visible; status post Th5–Th6 hemi laminectomy, status post spondylodiscitis involving Th4, Th5, Th6 and Th7 vertebrae. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5 (Figs. 4, 5).Fig. 4


Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae.

Andrychowski J, Jasielski P, Netczuk T, Czernicki Z - Eur Spine J (2012)

The follow-up MRI examination with contrast after 14 months post operation. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3369048&req=5

Fig5: The follow-up MRI examination with contrast after 14 months post operation. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5
Mentions: A follow-up MRI scan was performed within 16 months postoperatively. There was visible; status post Th5–Th6 hemi laminectomy, status post spondylodiscitis involving Th4, Th5, Th6 and Th7 vertebrae. Bone remodelling visible in Th5 and Th6 behind the damaged intervertebral disc as well as postinflammatory lesions within the Th4 and Th7 vertebrae. Spinal cord showing lesions at the level of Th4–Th5 (Figs. 4, 5).Fig. 4

Bottom Line: After therapy neurological status was improved.Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection.Proper targeted and long-term antibiotic therapy is crucial.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland. j.andrychowski@wp.pl

ABSTRACT

Objectives: Erysipelas is an animal disease caused by Gram-positive bacteria Erysipelothrix rhusiopathiae. Among the domestic animals, domestic pig (Sus scrofa f. domestica) suffers most frequently from the disease in human environment. This is a typical animal-borne disease observed mainly in occupational groups employed in agriculture, farming (of animals and birds), fishing and manufacturing industry.

Methods: We are presenting the clinical course of infection (E. rhusiopathiae) and discuss clinical forms. E. rhusiopathiae in humans may have the following clinical course: mild form of skin infection diagnosed as local erythema (erysipeloid), disseminated form of skin infection and the most serious form of infection of systemic course (endocarditis and sepsis). Mild skin infection and local erythema are the most common forms. Very rare case of animal-borne infection course has been presented in which after initial phase the disease was generalised to the abscesses formation in paravertebral space, spondylitis and empyema formation in spinal canal. In the presented clinical case, the patient was suffering from diabetes. It was probably an additional risk factor of the disease generalisation. Patient underwent drainage of empyema in spinal canal, after which his neurological status gradually improved. Antibiotic therapy was implemented and continued for 8 weeks. Such course of erysipelas was not previously described in the literature.

Results: After therapy neurological status was improved. In follow MRI control exam empyema and spondylitis was successfully eliminated.

Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.

Show MeSH
Related in: MedlinePlus