1/5. A simple and useful method of follow-up after diagnostic and therapeutic injections.Accurate follow-up after diagnostic and therapeutic injections is extremely important in orthopedic surgery. We describe a simple, inexpensive, and convenient method of obtaining such follow-up in a precise and easy-to-interpret way. A case example is given in which this information was useful to the physician and patient.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Fungal discitis due to aspergillus terreus in a patient with acute lymphoblastic leukemia.We report a case of aspergillus terreus discitis which developed in a patient with acute lymphoblastic leukemia following induction chemotherapy. A. terreus was isolated from sputum, one month earlier, but the physician did not consider it significant at the time. magnetic resonance imaging study showed the involvement of L3-4, L4-5 and L5-S1 intervertebral discs. Etiology was established by means of histology and culturing a surgical specimen of disc materials. Our patient survived after a surgical debridement and amphotericin b administration with a total dose of 2.0 g. discitis caused by aspergillus terreus is a very rare event. A. terreus is one of the invasive aspergillus species. The pathogenetic mechanism is discussed and the literature is reviewed.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. discitis following lumbar puncture in non-Hodgkin lymphoma.discitis in children is a rare disorder of intervertebral disc and vertebral end plate. infection or trauma, like lumbar puncture, may be the possible causes. Low-back pain and gait disturbance are the main symptoms. The most appropriate diagnostic procedure is MRI. Treatment is mainly empirical. Here a case with non-Hodgkin lymphoma is discussed. Treatment consisted of strict bed rest and antibiotics. Safe and sterile technique is important in patients with invasive procedures like intrathecal chemotherapy. Although discitis is a self-healing condition, it might cause vertebral osteomyelitis. In this regard, physicians should be aware of this probable complication after lumbar puncture and manage it earlier in children with cancer.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Cervical spondylodiscitis: a rare complication after phonatory prosthesis insertion.BACKGROUND: Tracheoesophageal puncture has excellent voice rehabilitation after total laryngectomy. However, despite its easy insertion and use, severe complications have been reported. methods: We report a case of cervical spondylodiscitis, occurring in a 67-year-old woman submitted to phonatory prosthesis insertion. After 1 month, she complained of severe cervicalgia associated with fever. Spondylodiscitis involving C6, C7, and the intervening vertebral disk with medullary compression was detected by means of imaging studies. RESULTS: A right cervicotomy with drainage of necrotic tissue was performed, and a de-epithelialized fasciocutaneous deltopectoral flap was interposed between the neopharynx-esophagus and the prevertebral fascia to protect the neurovascular axis. MR performed 1 month later showed a complete resolution of the infectious process. CONCLUSIONS: Severe neck pain after tracheoesophageal puncture should alert the physician about the possibility of a cervical spondylodiscitis. MR is the most useful imaging technique for preoperative and postoperative evaluation. When neurologic symptoms are detected, surgical exploration of the neck is mandatory.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. back pain in children and adolescents.back pain in children is a common problem that is infrequently reported to physicians. Persistent back pain in children is serious, and most conditions can be diagnosed with relatively simple tests, including diagnostic plain radiographs and bone scans. Many cases, including strains and sprains, are relieved with rest and decreased activity. If persistent back pain, increasing pain, fever, or neurologic deficit is present, referral to the orthopedic surgeon should be swift until a specific cause can be found and treated.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |