Infectious endocarditis сomplicated spondilodiscitis
https://doi.org/10.20538/1682-0363-2018-4-287-293
Abstract
This publication presents a clinical case of infectious endocarditis in an adult male aged 60, with manifestation of the disease in the form of spondilodiscitis. The presented observation demonstrates the development of onset of infectious endocarditis of bacterial spondylodiscitis in the adult patient. For a long time the patient’s intensive pain in the lumbar region could not be connected with infective endocarditis. According to the results of the examination the changes in the spine were not evaluated as an onset of IE. Dynamic observation and control MRT study allowed for the conclusion about bacterial spondilodiscitis in our patient with IE and to connect these two processes. In such clinical cases, MRT of the spine or positron emission tomography combined with computed tomography using a radiopharmaceutical 18F-fluorodeoxyglucose (F-FDG- PET / CT) of the whole body is recommended. In the case of a specific spondilodiscitis, the continuation of antibacterial therapy is determined by signs of inflammatory activity on F-FDG-PET / CT or MRT of the spine.
About the Authors
I. Zh. Talipova
West Kazakhstan Marat Ospanov State Medical University
Kazakhstan
Kazakhstan
Talipova Iliada Zh., PhD, Associate Professor, Department of Internal Diseases № 2
68, Maresiev Str., Aktobe
B. K. Zholdin
West Kazakhstan Marat Ospanov State Medical University
Kazakhstan
Kazakhstan
Zholdin Bekbolat K., PhD, Professor, Department of Internal Diseases № 2
68, Maresiev Str., Aktobe
S. A. Seitmagambetova
West Kazakhstan Marat Ospanov State Medical University
Kazakhstan
Kazakhstan
Seitmagambetova Saule A., PhD, Professor, Department of Internal Diseases № 2
68, Maresiev Str., Aktobe
G. L. Kurmanalina
West Kazakhstan Marat Ospanov State Medical University
Kazakhstan
Kazakhstan
Kurmanalina Gul᾿nara L., PhD, Associate Professor, Department of Internal Diseases № 2
68, Maresiev Str., Aktobe
D. E. Kushimova
West Kazakhstan Marat Ospanov State Medical University
Kazakhstan
Kazakhstan
Kushimova Dariga E., PhD, Associate Professor, Department of Internal Diseases № 2
68, Maresiev Str., Aktobe
References
1. Tamura K. Clinical characteristics of infective endocarditis with vertebral osteomyelitis. J. Infect Chemother. 2010; Aug. 16 (4): 260–265. DOI: 10.1007/s10156-010-0046-8.
2. Kitkungvan D., Denktas A.E. Cardiac arrest and ventricular tachycardia from coronary embolism: an unusual presentation of infective endocarditis. Anadolu Kardiyol. Derg. 2014; Mar. 14 (2): 204–205. DOI: 10.5152/akd.2014.5183.
3. Koslow M., Kuperstein R., Eshed I., Perelman M., Maor E., Sidi Y. The unique clinical features and outcome of infectious endocarditis and vertebral osteomyelitis co-infection. Am. J. Med. 2014; Jul. 127 (7): 669.e9–669.e15. DOI: 10.1016/j.amjmed2014.02.023
4. Nazir S., Lohani S., Tachamo N., Rajagopalan P. Low back pain after a dental procedure: a case of Streptococcus viridans vertebral osteomyelitis. BMJ. Case Rep. 2016; Jun. 7: Pii: bcr2016216087. DOI: 10.1136/bcr-2016-216087.
5. Lee K.C., Tsai Y.T., Lin C.Y., Tsai C.S. Vertebral osteomyelitis combined streptococcal viridans endocarditis. Eur. J. Cardiothorac. Surg. 2003; Jan. 23 (1): 125–127.
6. Yavasoqlu I., Kadikoylu G., Bolaman Z., Senturk T. Spondylodiscitis and Streptoccus viridans endocarditis. Journal of the National Medical Association. 2005; Dес. 97 (12): 1722–1724.
7. Recommendations of the European Society of Cardiology for the management of patients with infective endocarditis 2015. Russ. J. Cardiol. 2016; 5 (133): 65–116 (in Russ.). dx. doi.org/10.15829/1560-4071-2016-5-65-116 .
Review
For citations:
Talipova I.Zh., Zholdin B.K., Seitmagambetova S.A., Kurmanalina G.L., Kushimova D.E. Infectious endocarditis сomplicated spondilodiscitis. Bulletin of Siberian Medicine. 2018;17(4):287-293. (In Russ.) https://doi.org/10.20538/1682-0363-2018-4-287-293
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