What symptom does pyogenic spondylitis have?

summary

Suppurative spondylitis is rare, accounting for 4% of all osteomyelitis. If suffering from this disease, it is very uncomfortable, mostly in young adults, male more than female, children and the elderly can also get sick, but very few. The most common site of the disease was lumbar vertebrae, followed by thoracic vertebrae and cervical vertebrae. Staphylococcus aureus is the main pathogen, and other pathogens such as Streptococcus, Staphylococcus albus, Pseudomonas aeruginosa can also cause disease. What symptom does pyogenic spondylitis have below me? Let me tell you this.

What symptom does pyogenic spondylitis have?

First: the onset of suppurative spondylitis is sudden, especially in children, with persistent chills, high fever and other sepsis symptoms. Often in some parts of the body have infected lesions or postoperative patients suddenly feel lesions, local pain, spinal movement difficulties, fear of moving the body, unwilling to sit and walk, forced to bed. Local back muscle spasm, ankylosis, swelling, tenderness is obvious, a few patients can appear in the lesion deformity. Anemia, anorexia and weight loss may be associated.

Second: if the lesion of suppurative spondylitis involves nerve roots or sympathetic nerves, there may be reflex pain and positive straight leg raising test. In severe cases, spinal cord or cauda equina can be compressed to cause paralysis, especially in patients with cervical suppurative osteomyelitis. Severe symptoms of spinal cord injury can occur early. Paralysis can occur after acute symptoms are relieved, even after the patient is ready to get up and exercise.

Third: some cases of suppurative spondylitis may form abscess, but it is rare compared with tuberculosis, and its location and spreading route vary with the lesion location. The abscess of cervical and lumbar vertebrae may appear on the surface or break into sinus by itself, but it is not obvious in thoracic vertebrae. Patients with lesions in the waist may have pain in the front of the thigh or tension in the posterior thigh.

matters needing attention

In the early stage, large doses of antibiotics were combined and adjusted according to the results of bacterial culture and drug sensitivity test. One month after intravenous administration, the drug was changed to oral administration until symptoms disappeared and ESR returned to normal. Strengthen support therapy (nutrition, transfusion, blood transfusion, correction of water electrolyte disorder).