Estadísticas

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    "titulo" => "A rare case of emphysematous osteomyelitis of spine in uncontrolled diabetes mellitus"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 65-year-old female admitted to the emergency department with complaints of severe back pain radiating to both lower limbs&#44; high grade fever&#44; nausea and vomiting since last 8&#8211;9 days&#46; The patient had history of hypertension&#44; diabetes mellitus and permanent pacemaker insertion 12 years back&#46; Patient had no history of trauma or surgery&#46; She had severe tenderness over the lower spine&#46; No sensory or motor deficit could be elicited&#46; Investigations showed leucocytosis&#44; blood sugar of 665<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; HbA1C of 13&#46;9&#37; and procalcitonin of 39&#46;24<span class="elsevierStyleHsp" style=""></span>ng&#47;mL&#46; Lumbar spine radiograph did not reveal any significant abnormality&#46; CT lumbar spine revealed abnormal foci of intraosseus air in L5 and S1 vertebral bodies with associated pockets of air extending in bilateral pre and paravertebral soft tissue&#44; in epidural space at L3 to S1 levels and along the sciatic nerve roots on both sides &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figs&#46; 1</a> and 2&#41;&#46; These findings represent emphysematous osteomyelitis&#46; Patient was shifted to intensive care unit where broad spectrum antibiotics and other supportive care started&#46; Blood and urine cultures reported <span class="elsevierStyleItalic">Klebseilla pneumoniae</span>&#44; antibiotics reviewed as per sensitivity report&#46; Orthopedic opinion sought and advised for biopsy and decompression surgery&#46; Patient intubated in view of respiratory distress&#46; She got shifted to another hospital on relative request where she underwent surgical decompression and drainage&#46; Patient showed clinical improvement and discharged after 6 weeks&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Emphysematous osteomyelitis of spine is rare and is mostly associated with diabetes mellitus&#46; Early diagnosis and aggressive surgical and medical management are crucial for patient outcome&#46;</p></span>"
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        "texto" => "<p id="par0035" class="elsevierStylePara elsevierViewall">Authors wish to thank Critical care Team and Dr Ashok Grover &#40;Senior Consultant&#44; Internal medicine&#41; for Support&#46;</p>"
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