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SPINAL INFECTIONS

What are the spinal infections?

Infections developing in bones spine, discs inside the vertebrate, membrane surrounding the spinal cord or around the spinal cord are known as spinal infections.

Spinal infections generally occur in those patients using drugs intravenously, bearing HIV infections, using steroids for long time, presenting with diabetes mellitus, and experiencing organ transplantation, unhealthy eating habits as well as cancerous diseases.

Risk factors for infection include unhealthy eating habits, immune system disorders, HIV infection, cancer, diabetes mellitus, obesity, and brucella bacteria associated infections.

What are the symptoms of spinal infections?

Initial symptoms of spinal infections include high temperature and fatigue. These symptoms are followed by headache and nuchal rigidity.

Certain symptoms of spinal infections are as follows:

  • High body temperature,
  • Fatigue,
  • Headache,
  • Neck stiffness,
  • Swelling in the operation site,
  • Muscle weakness,
  • Sensitivity,
  • Redness,
  • Secretion,

Some patients can suffer from numbness and loss of sensation in lower and upper extremities, as well as lack of muscle strength. These symptoms can be mild in some cases while severe in others.

How to establish diagnosis for spinal infections?

Patient’s detailed medical history should be taken and physical examination should be carried out, accordingly. X-ray, tomography, MRI and scintigraphic tests are performed, and blood results are evaluated. MRI is taken with and without contrast agent. Tissue samples to be obtained from infection site with biopsy or secretion cultures from the wound site are analyzed.

Who are most frequently susceptible to spinal infections?

Older patients,

Those using intravenous drugs,

Those suffering from HIV infection,

Those using steroids for long time,

Those presenting with diabetes mellitus,

Those experiencing organ transplantation,

Those having bad eating habits, and

 

Those patients suffering from cancer are more susceptible to spinal infections.

Nonsurgical Treatment for Spinal Infections

Based upon the type of the microbe detected, long lasting intravenous antibiotics administration should be performed while the patient is hospitalized and period of stay at hospital is long. If the patient presents with excessive pain and if spinal motion is distorted, it is appropriate for the patient to lie down without any motions. If the patient does not present with a neurological damage or deterioration in general health status, antibiotics should be administrated based upon the microbe detected. Intravenous administration of agents must be generally continued for 6-8 weeks. Medication treatment varies from patient to patient.

When is the best time to perform surgical interventions to spinal infections?

Surgeon initiates the related diagnosis and treatment options following the determination of the optimal treatment method. Surgical intervention is generally determined and it is generally unnecessary. Noninvasive methods (endoscopic) can be rarely used to acquire materials from deep sites. Surgical interventions for aspiration can be performed.

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