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Comparison of characteristics of culture-negative pyogenic spondylitis and tuberculous spondylitis: A retrospective study

Title
Comparison of characteristics of culture-negative pyogenic spondylitis and tuberculous spondylitis: A retrospective study
Authors
Kim C.-J.Kim E.J.Song K.-H.Choe P.G.Park W.B.Bang J.H.Kim E.S.Park S.W.Kim H.-B.Oh M.-D.Kim N.J.
Ewha Authors
김충종
SCOPUS Author ID
김충종scopus
Issue Date
2016
Journal Title
BMC Infectious Diseases
ISSN
1471-2334JCR Link
Citation
vol. 16, no. 1
Keywords
DiscitisEpidural abscessMycobacterium tuberculosisSpinal tuberculosisSpondylitis
Publisher
BioMed Central Ltd.
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Background: Differences between the characteristics of culture positive pyogenic spondylitis (CPPS) and tuberculous spondylitis (TS) are well known. However, differences between the characteristics of culture negative pyogenic spondylitis (CNPS) and TS have not been reported; these would be more helpful in clinical practice especially when initial microbiologic examination of blood and/or biopsy tissue did not reveal the causative bacteria in patients with infectious spondylitis. Methods: We performed a retrospective review of the medical records of patients with CNPS and TS. We compared the characteristics of 71 patients with CNPS with those of 94 patients with TS. Results: Patients with TS had more previous histories of tuberculosis (9.9 vs 22.3 %, p = 0.034), simultaneous tuberculosis other than of the spine (0 vs 47.9 %, p < 0.001), and positive results in the interferon-gamma release assay (27.6 vs 79.2 %, p < 0.001). Fever (15.5 vs. 31.8 %, p = 0.018), psoas abscesses (15.5 vs 33.0 %, p = 0.011), and paravertebral abscesses (49.3 vs. 74.5 %, p = 0.011) were also more prevalent in TS than CNPS. Conclusions: Different from or contrary to the previous comparisons between CPPS and TS, fever, psoas abscesses, and paravertebral abscesses are more common in patients with TS than in those with CNPS. © 2016 The Author(s).
DOI
10.1186/s12879-016-1897-0
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의료원 > 의료원 > Journal papers
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