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Haematogenous vertebral osteomyelitis. Experience of a primary care hospital
Osteomielitis vertebral hematógena. Experiencia en un hospital comarcal
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Azucena Ramos Sánchez, Yadhira Mejía Holguín, Laura Elena Aranda Baca, María Josefina Sauza del Pozo, Ariana Maia Becerra Márquez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Rosa Elena" "apellidos" => "Calderón Saldierna" ] 1 => array:2 [ "nombre" => "María Azucena" "apellidos" => "Ramos Sánchez" ] 2 => array:2 [ "nombre" => "Yadhira" "apellidos" => "Mejía Holguín" ] 3 => array:2 [ "nombre" => "Laura Elena" "apellidos" => "Aranda Baca" ] 4 => array:2 [ "nombre" => "María Josefina" "apellidos" => "Sauza del Pozo" ] 5 => array:2 [ "nombre" => "Ariana Maia" "apellidos" => "Becerra Márquez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574310700186?idApp=UINPBA00004M" "url" => "/21735743/0000000600000002/v1_201305061606/S2173574310700186/v1_201305061606/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Haematogenous vertebral osteomyelitis. Experience of a primary care hospital" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "86" "paginaFinal" => "90" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "José Miguel Ruiz Martín, Sergi Ros Expósito, Abelardo Montero Sáez, Pedro Sanz Frutos" "autores" => array:4 [ 0 => array:4 [ "nombre" => "José Miguel" "apellidos" => "Ruiz Martín" "email" => array:1 [ 0 => "jm.ruizmartin@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Sergi" "apellidos" => "Ros Expósito" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Abelardo" "apellidos" => "Montero Sáez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Pedro" "apellidos" => "Sanz Frutos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Reumatología, Hospital de Viladecans, Viladecans, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital de Viladecans, Viladecans, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteomielitis vertebral hematógena. Experiencia en un hospital comarcal" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-09" "fechaAceptado" => "2009-05-27" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112371" "palabras" => array:3 [ 0 => "Vertebral osteomielitis" 1 => "Bone infection" 2 => "Epidemiology" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112370" "palabras" => array:3 [ 0 => "Osteomielitis vertebral" 1 => "Infección ósea" 2 => "Epidemiología" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe a series of patients with haematogenous vertebral osteomyelitis (HVO) in a primary care hospital. The results were compared with other Spanish and foreign series.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The files of patients with HVO diagnosed in the Viladecans hospital from 1993 through 2008, were retrospectively reviewed. Only patients with microbiological demonstration of infection were included. Patients with HVO after surgical procedures were excluded.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Twenty six patients had inclusion criteria, 9 females and 17 males, with a mean age of 61 years (range 36ndash;83). The most patients had any predisposing factor, generally <span class="elsevierStyleItalic">diabetes mellitus</span>. Pyogenic microorganisms were the most frequent aetiological agents (77%). Back pain was by far the most common presenting symptom (88.4%), followed by peripheral septic arthritis in two patients (7.6%), and acute abdominal pain in one. Fever was found in 22 cases (84.6%). None of our patients died, but the sequelae were non rare.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We did not find difference between our series and others. It is noteworthy that the streptococcal species represents the most frequently isolated organism, followed by <span class="elsevierStyleItalic">Staphylococcus aureus</span>, more common in other series. Remarkably, none of our patients died. HVO is an infrequent disease. However, evidence suggests that the incidence is increasing. Early diagnosis can avoid potential serious sequelae.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Describir las características generales de una serie de enfermos con osteomielitis vertebral hematógena (OVH) desde la perspectiva de un hospital comarcal y comparar nuestros resultados con los de otras series nacionales y extranjeras.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Análisis retrospectivo de las historias clínicas de los pacientes con OVH diagnosticados en el Hospital de Viladecans en el período comprendido entre 1993 y 2008. Se han incluido sólo los pacientes con demostración microbiológica de infección y adquiridos por vía hemática.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Veintiséis pacientes cumplían los criterios de inclusión, nueve mujeres y diecisiete varones, con una edad media de 61 años (límites 36–83). La mayoría de éstos tenían algún factor predisponente de base, predominando la diabetes mellitus, y estaban causados por gérmenes piógenos (77%). La presentación clínica habitual fue el dolor vertebral de características inflamatorias, observado en 23 enfermos (88,4%). La artritis séptica de articulaciones periféricas fue la forma de inicio en dos pacientes (7,6%) y el abdomen agudo en un paciente. La fiebre se detectó en 22 casos (84,6%). La mortalidad fue nula, aunque las complicaciones y secuelas resultaron frecuentes y a menudo graves.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Las características clínicas generales de nuestra serie no difieren esencialmente de otras, tanto nacionales como extranjeras, aunque como hecho diferencial hemos detectado una incidencia predominante de etiología estreptocócica sobre la estafilocócica habitual. Es reseñable la nula mortalidad observada. Aunque se trata de una enfermedad infrecuente, parece que está aumentando su incidencia, lo que unido a su potencial capacidad para ocasionar complicaciones y secuelas graves obliga a sensibilizar al colectivo médico a fin de conseguir un diagnóstico más precoz y mejorar con ello el pronóstico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vertebral osteomielitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.C. McHenry" 1 => "K.A. Easly" 2 => "G.A. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 6 | 7 |
| 2024 October | 20 | 33 | 53 |
| 2024 September | 33 | 23 | 56 |
| 2024 August | 35 | 34 | 69 |
| 2024 July | 26 | 52 | 78 |
| 2024 June | 47 | 34 | 81 |
| 2024 May | 40 | 30 | 70 |
| 2024 April | 29 | 19 | 48 |
| 2024 March | 30 | 26 | 56 |
| 2024 February | 21 | 34 | 55 |
| 2024 January | 20 | 21 | 41 |
| 2023 December | 19 | 29 | 48 |
| 2023 November | 23 | 28 | 51 |
| 2023 October | 26 | 28 | 54 |
| 2023 September | 24 | 40 | 64 |
| 2023 August | 23 | 12 | 35 |
| 2023 July | 19 | 22 | 41 |
| 2023 June | 20 | 19 | 39 |
| 2023 May | 18 | 11 | 29 |
| 2023 April | 17 | 13 | 30 |
| 2023 March | 23 | 23 | 46 |
| 2023 February | 21 | 27 | 48 |
| 2023 January | 15 | 21 | 36 |
| 2022 December | 25 | 26 | 51 |
| 2022 November | 31 | 25 | 56 |
| 2022 October | 24 | 17 | 41 |
| 2022 September | 19 | 44 | 63 |
| 2022 August | 25 | 43 | 68 |
| 2022 July | 22 | 49 | 71 |
| 2022 June | 20 | 31 | 51 |
| 2022 May | 27 | 44 | 71 |
| 2022 April | 33 | 54 | 87 |
| 2022 March | 33 | 60 | 93 |
| 2022 February | 19 | 33 | 52 |
| 2022 January | 21 | 31 | 52 |
| 2021 December | 18 | 47 | 65 |
| 2021 November | 17 | 42 | 59 |
| 2021 October | 29 | 46 | 75 |
| 2021 September | 29 | 53 | 82 |
| 2021 August | 25 | 28 | 53 |
| 2021 July | 21 | 42 | 63 |
| 2021 June | 19 | 42 | 61 |
| 2021 May | 22 | 33 | 55 |
| 2021 April | 53 | 74 | 127 |
| 2021 March | 40 | 21 | 61 |
| 2021 February | 25 | 18 | 43 |
| 2021 January | 16 | 16 | 32 |
| 2020 December | 27 | 12 | 39 |
| 2020 November | 15 | 28 | 43 |
| 2020 October | 17 | 15 | 32 |
| 2020 September | 26 | 15 | 41 |
| 2020 August | 14 | 14 | 28 |
| 2020 July | 11 | 18 | 29 |
| 2020 June | 27 | 11 | 38 |
| 2020 May | 24 | 17 | 41 |
| 2020 April | 23 | 18 | 41 |
| 2020 March | 20 | 11 | 31 |
| 2020 February | 1 | 0 | 1 |
| 2020 January | 16 | 0 | 16 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 1 | 1 | 2 |
| 2018 April | 27 | 11 | 38 |
| 2018 March | 35 | 15 | 50 |
| 2018 February | 17 | 5 | 22 |
| 2018 January | 16 | 9 | 25 |
| 2017 December | 13 | 7 | 20 |
| 2017 November | 19 | 12 | 31 |
| 2017 October | 13 | 8 | 21 |
| 2017 September | 15 | 6 | 21 |
| 2017 August | 17 | 6 | 23 |
| 2017 July | 14 | 8 | 22 |
| 2017 June | 29 | 6 | 35 |
| 2017 May | 19 | 10 | 29 |
| 2017 April | 12 | 7 | 19 |
| 2017 March | 17 | 5 | 22 |
| 2017 February | 7 | 12 | 19 |
| 2017 January | 10 | 4 | 14 |
| 2016 December | 55 | 12 | 67 |
| 2016 November | 32 | 6 | 38 |
| 2016 October | 54 | 6 | 60 |
| 2016 September | 46 | 11 | 57 |
| 2016 August | 34 | 5 | 39 |
| 2016 July | 25 | 9 | 34 |
| 2016 June | 0 | 10 | 10 |
| 2016 April | 0 | 14 | 14 |
| 2016 February | 2 | 16 | 18 |
| 2016 January | 4 | 12 | 16 |
| 2015 December | 5 | 0 | 5 |
| 2015 October | 1 | 0 | 1 |
| 2015 September | 2 | 12 | 14 |
| 2015 August | 4 | 0 | 4 |
| 2015 July | 21 | 4 | 25 |
| 2015 June | 27 | 6 | 33 |
| 2015 May | 35 | 18 | 53 |
| 2015 April | 31 | 9 | 40 |
| 2015 March | 19 | 6 | 25 |
| 2015 February | 24 | 9 | 33 |
| 2015 January | 11 | 8 | 19 |
| 2014 December | 29 | 11 | 40 |
| 2014 November | 24 | 13 | 37 |
| 2014 October | 21 | 9 | 30 |
| 2014 September | 17 | 15 | 32 |
| 2014 August | 20 | 14 | 34 |
| 2014 July | 20 | 17 | 37 |
| 2014 June | 36 | 13 | 49 |
| 2014 May | 29 | 14 | 43 |
| 2014 April | 36 | 9 | 45 |
| 2014 March | 42 | 17 | 59 |
| 2014 February | 34 | 11 | 45 |
| 2014 January | 37 | 10 | 47 |
| 2013 December | 25 | 9 | 34 |
| 2013 November | 27 | 7 | 34 |
| 2013 October | 35 | 12 | 47 |
| 2013 September | 41 | 9 | 50 |
| 2013 August | 30 | 9 | 39 |
| 2013 July | 33 | 7 | 40 |
| 2013 June | 24 | 13 | 37 |
| 2013 May | 23 | 5 | 28 |
| 2013 April | 26 | 9 | 35 |
| 2013 March | 22 | 13 | 35 |
| 2013 February | 31 | 8 | 39 |
| 2013 January | 23 | 7 | 30 |
| 2012 December | 23 | 9 | 32 |
| 2012 November | 11 | 7 | 18 |
| 2012 October | 11 | 8 | 19 |
| 2012 September | 7 | 3 | 10 |
| 2012 June | 2 | 0 | 2 |
| 2012 May | 2 | 0 | 2 |
| 2012 April | 7 | 0 | 7 |
| 2012 March | 3 | 0 | 3 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 4 | 0 | 4 |
| 2011 November | 2 | 0 | 2 |
| 2011 October | 4 | 0 | 4 |
| 2011 September | 1 | 0 | 1 |
| 2011 August | 3 | 0 | 3 |
| 2011 July | 1 | 0 | 1 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 3 | 0 | 3 |
| 2011 April | 2 | 0 | 2 |
| 2011 March | 8 | 0 | 8 |
| 2011 February | 8 | 0 | 8 |
| 2011 January | 17 | 0 | 17 |
| 2010 December | 5 | 0 | 5 |
| 2010 November | 3 | 0 | 3 |
| 2010 October | 8 | 0 | 8 |
| 2010 September | 13 | 0 | 13 |
| 2010 August | 14 | 0 | 14 |
| 2010 July | 13 | 0 | 13 |
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