title: Infectious spondylodiscitis in hemodialysis.
abstract: Infectious spondylodiscitis is an infection seen with increasing frequency in patients receiving chronic hemodialysis. Often accompanied by bacteremia, it is associated with the use of central venous catheters for hemodialysis access. Initial symptoms can be relatively insidious and nonspecific. Therefore, the clinician must have a low threshold for diagnostic testing that goes beyond blood cultures. This, in addition to early empiric antibiotic therapy, may improve the outcome of this potentially catastrophic infection.
authors.affiliation: Nephrology Service, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: García-García
authors.forename: Antonio
authors.initials: A
authors.lastname: Rivero
authors.forename: Nieves
authors.initials: N
authors.lastname: del Castillo
authors.forename: Ana
authors.initials: A
authors.lastname: Jarque
authors.forename: María A
authors.initials: MA
authors.lastname: Getino
authors.forename: Javier
authors.initials: J
authors.lastname: García-Pérez
authors.forename: Juan F
authors.initials: JF
authors.lastname: Navarro-González
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000382:microbiology; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D015299:Discitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects* / Q000295:instrumentation; D013904:Thoracic Vertebrae
chemical_list: D000900:Anti-Bacterial Agents