Data/hora: 02/06/2024 18:56:48

Provedor de dados: | 58
País: | Brazil
Título: | Bacteriological features of infectious spondylodiscitis at Mohammed V Military Teaching Hospital of Rabat
Autores: | Zohoun,A; Ngoh Akwa,E; El Ochi,M; Oragwu,N; Akhaddar,A; Albouzidi,A; El Ouennass,M.
Data: | 2012-12-01
Ano: | 2012
Palavras-chave: | Spondylodiscitis; Mycobacterium tuberculosis; Staphylococcus aureus; Empirical treatment; Morocco.
Resumo: | To review the bacteriological features of infectious spondylodiscitis and provide recommendations for the initial therapy which remains empirical in our context. Retrospective study including patients diagnosed with spondylodiscitis over a period of 4 years (2006-2009) at the Rabat Military Teaching Hospital. During the study period, we analysed 30 cases: the mean age was 49.9 years and 21 cases (70%) were male. The patients were predominantly hospitalized in neurosurgery department (15/30) followed by rheumatology department (10/30). The site of infection was lumbar in 21 cases (21/30), dorsal in 7 cases (7/30). 26 cultures were positive of which 19 (19/26) were monomicrobial. Tuberculosis (TB) was implicated in 10 cases (10/30) including 4 cases in association with common organisms (Propionibacterium acnes, Staphylococcus aureus, Staphylococcus epidermidis, Corynebacterium species). Brucella melitensis was isolated in 1 case. Infections caused by pyogenic bacteria were isolated in 15 cases of which 12 (12/15) revealed simple organisms including Gram-positive cocci in 9 cases (9/12) with 3 cases of S. aureus and Gram-negative bacilli in 3 cases (3/12) with 2 cases of P. aeruginosa. Blood cultures carried out for 16 patients were positive in 7 cases. The anatomopathologic exams carried out for 20 patients found in 6 cases epithelioid granulomata and giants cells with caseous necrosis in total concordance with TB culture. TB is the most frequent cause of spondylodiscitis in Morocco. Our study found the same frequency for non-specific and specific germs. Empirical treatment must take into account S. aureus and M. tuberculosis.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822012000400013
Editor: | Sociedade Brasileira de Microbiologia
Relação: | 10.1590/S1517-83822012000400013
Formato: | text/html
Fonte: | Brazilian Journal of Microbiology  v.43 n.4 2012
Fonte: | info:eu-repo/semantics/openAccess