0
July 7, 1978, Vol 240, No. 1 >
ARTICLE | July 7, 1978

Cervical Osteomyelitis: Title and subTitle BreakInfection Due to Staphylococcus epidermidis in Hemodialysis Patients FREE

Matthew A. Parker, MD; Carmelita U. Tuazon, MD
[+] Author Affiliations

Reprint requests to Department of Medicine, George Washington University Medical Center, 2150 Pennsylvania Ave NW, Washington, DC 20037 (Dr Tuazon).


JAMA. 1978;240(1):50-51. doi:10.1001/jama.1978.03290010054025
Text Size: A A A
Published online
Article
References

VERTEBRAL bodies are frequent sites of pyogenic osteomyelitis in the adult.1-3 Anatomically, lumbar vertebrae are most commonly involved, followed by thoracic and, rarely, cervical vertebrae. In most series, vertebral osteomyelitis occurs in the setting of urinary tract disease2,4,5 or intravenous (IV) drug use.2,3

The preponderant pathogen in pyogenic osteomyelitis is Staphylococcus aureus,1,2 followed by Gram-negative rods usually from a urinary tract focus.5Staphylococcus epidermidis is a rare cause of osteomyelitis.4,5 The first report of osteomyelitis in hemodialysis patients implicated S epidermidis in three of five cases, either as the sole etiologic agent or combined with S aureus or Pseudomonas aeruginosa.6 We describe two cases of cervical osteomyelitis due to S epidermidis in long-term hemodialysis patients.

Report of Cases 

Case 1.—  A 42-year-old man was admitted in February 1976, with complaints of neck and shoulder pains of three days' duration. He had a history

REFERENCES

1 +
Waldvogel FA, Medoff G, Swartz MN:  Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 282:198-206, 260-266, 316-322, 1970;.
2 +
McHenry MC, Alfidi RJ, Wiloe AH, et al:  Hematogenous osteomyelitis . Cleve Clin Q 42:125-152, 1975;.
3 +
Musher DM, Thorseteinsson SB, Minuth JN, et al:  Vertebral osteomyelitis: Still a diagnostic pitfall . Arch Intern Med 136:105-110, 1976;.
4 +
Ross PM, Fleming JL:  Vertebral body osteomyelitis: Spectrum and natural history: A retrospective analysis of 37 cases . Clin Orthop 118:190-198, 1976;.
5 +
Bruno MS, Silverberg TN, Goldstein DH:  Embolic osteomyelitis of the spine as a complication of infection of the urinary tract . Am J Med 42:865-877, 1960;.
6 +
Leonard A, Comty CM, Shapiro FL, et al:  Osteomyelitis in hemodialysis patients . Ann Intern Med 78:651-658, 1973;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Waldvogel FA, Medoff G, Swartz MN:  Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 282:198-206, 260-266, 316-322, 1970;.
2 +
McHenry MC, Alfidi RJ, Wiloe AH, et al:  Hematogenous osteomyelitis . Cleve Clin Q 42:125-152, 1975;.
3 +
Musher DM, Thorseteinsson SB, Minuth JN, et al:  Vertebral osteomyelitis: Still a diagnostic pitfall . Arch Intern Med 136:105-110, 1976;.
4 +
Ross PM, Fleming JL:  Vertebral body osteomyelitis: Spectrum and natural history: A retrospective analysis of 37 cases . Clin Orthop 118:190-198, 1976;.
5 +
Bruno MS, Silverberg TN, Goldstein DH:  Embolic osteomyelitis of the spine as a complication of infection of the urinary tract . Am J Med 42:865-877, 1960;.
6 +
Leonard A, Comty CM, Shapiro FL, et al:  Osteomyelitis in hemodialysis patients . Ann Intern Med 78:651-658, 1973;.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems