C1 and C2 vertebrae osteomyelitis: a misleading presentation leading to a fatal outcome

  title={C1 and C2 vertebrae osteomyelitis: a misleading presentation leading to a fatal outcome},
  author={Hassan Radhiana and J WinMarSalmah},
  journal={International Medical Journal Malaysia},
ABSTRACT Cervical vertebral osteomyelitis is rare. While an early and correct diagnosis is critical to prevent catastrophic neurological injury, the diagnosis of cervical vertebral osteomyelitis is often difficult because of its rarity and variable symptoms. We present a case of C1 and C2 vertebrae osteomyelitis with a misleading presentation and its fatal outcome. KEYWORDS: Cervical spine, osteomyelitis, spinal infection 

Figures from this paper

Cervical Osteomyelitis: Unique Presentation and Fatal Outcome

A patient was admitted with acute hypoxic respiratory failure from diaphragmatic paralysis as a result of C1-3 vertebral osteomyelitis, which is the most common route of infection spread to cervical spine.

C1/C2 osteomyelitis secondary to malignant otitis externa complicated by atlantoaxial subluxation-a case report and review of the literature.

This case highlights the potential challenges in the management of cervical osteomyelitis-optimal duration of antibiotics is not supported by strong evidence and the clinician will therefore have to decide each treatment in the context of the patient.

Cervical osteomyelitis: a brief review.

Cervical vertebral osteomyelitis has a spectrum of origins, which include spontaneous, postoperative, traumatic, and hematogenously spread causes, and the majority of patients have medical risk factors and comorbidities that include diabetes, trauma, drug abuse, and infectious processes in extraspinal areas.

Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals.

A retrospective study of 253 patients with vertebral osteomyelitis who had long-term follow-up, finding that an optimal outcome of VO requires heightened awareness, early diagnosis, prompt identification of pathogens, reversal of complications, and prolonged antimicrobial therapy.

Vertebral osteomyelitis in northern Spain. Report of 62 cases.

Vertebral osteomyelitis can be caused by a variety of pathogens and bacteriological studies are necessary to establish the etiologic diagnosis and determine the specific antimicrobial treatment required.

Epidemiology of acute vertebral osteomyelitis in Denmark: 137 cases in Denmark 1978-1982, compared to cases reported to the National Patient Register 1991-1993.

Insulin-dependent diabetes and treatment with systemic corticosteroids seemed to be significant risk factors, but not rheumatoid arthritis and abuse of alcohol or intravenous drugs, and a primary focus was identified, urinary tract infection being the commonest.

MR imaging of vertebral osteomyelitis revisited.

Hypointense signal intensity in the vertebral body on T1-weighted images, abnormal disk signal intensity on both T1 and T2-weighting images, and contrast enhancement are the findings that indicate spinal infection most reliably.

Epidural abscess of the cervical spine: MR findings in five cases.

MR imaging is useful in diagnosing cervical epidural abscess and in evaluating associated abnormality of the spinal cord, vertebral bodies, intervertebral disks, and paraspinal soft tissue.