Ver el código de «Discitis»

==Background==
*Also spelled as Discitis, and is an infection in the intervertebral disc space but also occurs post surgically in approximately 1-2 percent of patients after spinal surgery.
*Infection of nucleus pulposus due to infection of vertebral body end-plate cartilage 
*Risk Factors: peds (age < 8yo), post-op, immunocompromised

==Clinical Features==
*>90% p/w unremitting back or neck pain which awakens them at night
*Fever (60-70%)
*Neuro deficits (10-50%)
*ESR elevation (>90%)
*Leukocytosis (<50%)

== Diagnosis ==
*Labs
**ESR elevated
*Imaging
**Plain films are rarely positive 
**MRI is gold standard

==Treatment==
===IV [[Antibiotics]]===
{{Antibiotics Discitis-Vertebral Osteomyelitis}}

==Disposition==
*Admit to spine service

==Source==
*Rosen's
*Tintinalli

[[Category:Ortho]]