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KMID : 1099620170140010014
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Korean Journal of Spine
2017 Volume.14 No. 1 p.14 ~ p.16
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Delayed Spondylodiscitis Presenting as a Skip Lesion
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Kim Dong-Min
Kim Seok-Won
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Abstract
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Spondylodiscitis is believed to be caused by an infection that affects vertebral bodies and the intervening intervertebral disc. Usually, typical spondylodiscitis involves a mobile vertebra-disc-vertebra unit, and in most cases, the condition is managed successfully by surgical intervention and intravenous antibiotic therapy. Here, the authors report an unusual case of a spondylodiscitis presenting as a skip lesion, which progressed from L4/L5 to L1/L2, despite open surgical biopsy and empirical intravenous antibiotics. Possible pathogenic mechanisms of this unique case are discussed and a review of the pertinent literature is included.
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KEYWORD
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Spondylodiscitis, Skip, Antibiotics
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