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Pyogenic osteitis of the spine

Authoring team

Pyogenic infection of the spinous bone is rare. It is difficult to clinically discriminate from Pott's disease - tuberculosis of the spine - so needle biopsy or pus aspiration should be used for bacteriological culture.

Clinically, the presenting symptoms are of pain and stiffness in the back which may be of rapid of insidious onset.

The causal agent is predominantly Staphylococcus, but Salmonella spp. and Brucella spp. may invade. The vast majority of cases resolve after systemic administration of the appropriate antibiotic.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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