Журнал клинических случаев

Rare Etiology of Arachnoiditis in Patient with Uncontrolled Diabetes

Abstract

Chad Cooper, Sarmad Said, Sayeed Khalillullah and Sucheta Gosavi

Pyogenic Spondylodiscitis (PS) is an uncommon infection representing approximately 3-5% of all osteomyelitis cases, male-tofemale ratio 3:1. PS occurs commonly from hematogenous speeding. It typically involves disc and anterior corners of the adjacent vertebral bodies. Staphylococcus aureus is the most frequent microorganism accounting for half of the cases. Gram-negative rods account for 7-33% and coagulase-negative staphylococci were reported in 5-16% of cases. The incidence has increased recently due to a more elderly population, chronic use of steroids and other comorbidities. The disease is characterized by unremitting back pain. When the clinical presentation is suggestive, blood cultures should be performed. Magnetic resonance imaging is the modality of choice due to its high sensitivity and specificity.