title: Rapid manifestation of cervical vertebral osteomyelitis.
abstract: Within 10 days after cystoscopy causing urosepsis this patient developed persistant neckpain as initial symptom of vertebral osteomyelitis. E. coli was isolated from urine, blood cultures and later from bone biopsy. Antibiotic treatment did not stop the progress of the disease. A transverse spinal cord syndrome occurred due to a pathological fracture of C5 and C6 and operative decompression was necessary. The rapid onset of osteomyelitis was impressive. For effective treatment of bacterial osteomyelitis a bone biopsy is sometimes unavoidable and indicated.
authors.affiliation: Clinic for Neurosurgery, University of Schleswig-Holstein, Luebeck, Germany. sebastian.spuck@neurochirurgie.mu-luebeck.de
authors.forename: S
authors.initials: S
authors.lastname: Spuck
authors.forename: H
authors.initials: H
authors.lastname: Arnold
authors.forename: R
authors.initials: R
authors.lastname: Kranz
authors.forename: W
authors.initials: W
authors.lastname: Solbach
authors.forename: R
authors.initials: R
authors.lastname: Kaemmerer
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage; D002574:Cervical Vertebrae; D003558:Cystoscopy / Q000009:adverse effects; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D018805:Sepsis / Q000209:etiology
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone