Case reports: spondylodiscitis and epiduritis after suffering COVID-19
Автор: Ustenko Ilya I., Kushnir Yana B., Amelin Alexandr V., Gotovchikov Andrey А., Goranchuk Denis V., Kulikov Alexander N.
Журнал: Клиническая практика @clinpractice
Рубрика: Описание клинических случаев
Статья в выпуске: 1 т.13, 2022 года.
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Background: The study analyzes a possible rare complication of COVID-19 in the form of spondylodiscitis, including that followed by epiduritis, in patients who survived COVID-19 characterized by severe pneumonia, respiratory failure and systemic inflammatory response syndrome (SIRS). Clinical case description: Three clinical cases of patients are presented, each of whom had high fever, SIRS with a significant increase in the laboratory markers of inflammation (C-reactive protein (CRP), leukocytosis, erythrocyte sedimentation rate (ESR), fibrinogen, procalcitonin, ferritin), bacterial pneumonia, and severe hemostasis disorders. Despite an antibiotic therapy with broad-spectrum drugs, the development of spondylodiscitis was observed, manifested as acute pain syndrome in the lumbar spine. In the first patient, against the background of a massive antibacterial therapy, revisions of purulent foci, therapy with glucocorticosteroids (GCS), and a surgical treatment, there was significant positive dynamics in the form of the pain syndrome relief. The second patient showed positive dynamics against the background of a conservative antibacterial therapy. The third patient, with a paravertebral abscess at the level of developed spondylodiscitis, received a massive antibiotic therapy combined with GCS, and was operated for the spinal cord decompression. Conclusion: Spondylodiscitis and epiduritis may be possible complications of COVID-19, including those resulting from the immunosuppressive therapy, which is actively used to stop the cytokine storm.
Covid-19, neurologic diseases, nervous system, spondylodiscite, epidural abscess, low back pain, "red flags", case report
Короткий адрес: https://sciup.org/143178538
IDR: 143178538