Pyogenic vertebral osteomyelitis is a rare condition usually associated with endocarditis or spinal surgery. However, it may also occur following abdominal penetrating trauma with associated gastrointestinal perforation. Diagnosis might be challenging and appropriate treatment is essential to ensure a positive outcome. In trans-abdominal trauma, 48 hours of broad-spectrum antibiotics is generally recommended for prophylaxis of secondary infections. A case report of vertebral osteomyelitis complicating trans-colonic injury to the retroperitoneum is presented and clinical management is discussed in the light of literature review.

Pyogenic vertebral osteomyelitis complicating abdominal penetrating injury : case report and review of the literature / A. Zefelippo, P.M. Bertazzoni, A.M. Marini, P. De Rai, E. Contessini-Avesani. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - 8:1(2013 Dec 27), pp. 56.1-56.4.

Pyogenic vertebral osteomyelitis complicating abdominal penetrating injury : case report and review of the literature

A. Zefelippo;P.M. Bertazzoni;E. Contessini-Avesani
2013-12-27

Abstract

Pyogenic vertebral osteomyelitis is a rare condition usually associated with endocarditis or spinal surgery. However, it may also occur following abdominal penetrating trauma with associated gastrointestinal perforation. Diagnosis might be challenging and appropriate treatment is essential to ensure a positive outcome. In trans-abdominal trauma, 48 hours of broad-spectrum antibiotics is generally recommended for prophylaxis of secondary infections. A case report of vertebral osteomyelitis complicating trans-colonic injury to the retroperitoneum is presented and clinical management is discussed in the light of literature review.
Penetrating abdominal trauma; Post-traumatic infections; Vertebral osteomyelitis
Settore MED/18 - Chirurgia Generale
WORLD JOURNAL OF EMERGENCY SURGERY
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/229691
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