Acute haematogenous infection of a closed vertebral fracture

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• 作者：Laurence A.G. Marshman ; Dale Allison ; Cynthia J. Molloy
• 关键词：Vertebral fracture ; Haematogenous infection ; Closed fracture
• 刊名：Journal of Clinical Neuroscience
• 出版年：2009
• 出版时间：December 2009
• 年：2009
• 卷：16
• 期：12
• 页码：1643-1646
• 全文大小：199 K

文摘

Acute haematogenous infection of a closed fractures is rare. A 68-year-old diabetic male sustained a burst fracture of a lumbar vertebra (L2) after a fall onto his back. After 5 days of conservative management, he developed a chest infection and amoxicillin was commenced empirically. However, after 6 days his previously moderate focal L2 back pain had become more severe. Pyrexia and systemic inflammatory markers continued to rise despite administration of antibiotics. Blood cultures and a CT-guided biopsy of L2 both revealed Staphylococcus aureus which was sensitive to flucloxacillin. The patient’s symptoms and signs gradually normalised following administration of flucloxacillin for 6 weeks, and the use of a cast brace. We conclude that haematogenous infection can be successfully managed non-operatively.