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CURRENT ISSUEGAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology

Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Monthly

ISSN 0393-3660

Online ISSN 1827-1812

 

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2015 March;174(3):133-40

    CASE REPORTS

Follow-up with PET total body of a spondylodiscitis clinical case

Scielzo C. E. 1, Morabito U. 1, Porrino P. 1, Martino B. 1, Tangredi M. 1, Penna D. 2

1 Functional Rehabilitation, Casa di Cura Villa Adriana, Arignano, Turin, Italy;
2 Diagnostic Center Irmet, Turin, Italy

Spondylodiscitis is an infection of two adjacent vertebral bodies and their intervertebral disc space. The most frequent disease locations are cervical and lumbar vertebras mostly at the L3-L4 and L4-L5 level, that are considered the site with higher probability of infection and the most frequent symptom is pain. A lot of studies describes a concentration of 18 F-FDG, where is an infection or inflammation but today the role of PET with 18 F-FDG in patients with spondylodiscitis is studied by few authors. The aim of this study is to assess, starting from a clinical case, the potential role of the PET/CT in clinical management in a patient with spondylodiscitis at the moment of diagnosis during treatment. The patient is a seventy-four years old woman, who is affected by spondylodiscitis: she was studied at the beginning with traditional techniques (CT with and without contrast medium and lumbar X-ray) and treated with antibiotic therapy for four weeks as long as the pain and high levels of inflammation index in blood examination, the patient were been valued by PET Total Body that allowed us to give a correct indication to continue antibiotic therapy and to decide an appropriate rehability project. PET Total-Body is an non-invasive examination with few collateral effects and, differently from MNR and aimed biopsy, without false positive or negative results, that can be used later in spondylodiscitis follow-up.

language: English, Italian


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