Hepatitis B Virus (HBV)

Category: Pleural Effusion

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Conclusion

The spectrum of organisms isolated in these patients (S aureus, S agalactiae, and P mirahilis) is similar to that reported by McHenry in their large series of osteomyelitis read online asthma inhalers. S agalactiae and P mirahilis have not been previously associated with pleural effusion secondary to vertebral osteomyelitis. S aureus was the cause of vertebral osteomyelitis in six of the eight cases presenting […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Outcome

Case 5 also supports this in that the effusion markedly increased soon after the CT-guided aspiration of the vertebral lesion. It can be argued that the osteomyelitis in these patients was secondary to an infection in the pleural space. Two points against such an argument are as follows: (1) Four of these patients (cases 1, […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Discussion

Of the five patients with vertebral osteomyelitis in this series, four presented with pleural effusion. In three of these four patients, the effusion was large on presentation and exudative. In the fourth patient (case 4), though the effusion was large, the characteristics of the effusion were not determined. The focus on the exudative effusions and […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Case 5

A chest x-ray film revealed a small right-sided subpulmonic effusion. The WBC count was 15,000/μL with 78% neutrophils. An MRI of the spine suggested a disk space infection of the 6th and 7th thoracic vertebrae with epidural extension and posterior displacement of the spinal cord (Fig 4). A CT-guided aspiration of the spine yielded purulent fluid which […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Case 4

A 55-year-old woman was admitted to the hospital with fever, left-sided back pain, and constipation. The pain was not pleuritic; however, it was aggravated by movement. There was a history of diabetes mellitus and a nonhealing ulcer on her right foot. Her temperature was 37.7°C. Breath sounds were decreased at the left lung base. Both […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Case 2

The entire left leg was tender and warm. There was no tenderness over the spine. The chest x-ray film showed bilateral pleural effusions, larger on the right side. The Pa02 was 51 mm Ilg (with the patient breathing room air). The WBC count was 20,000/n-L, with 85% polymorphonuclear leukocytes and 11% lymphocytes. Results of a chemistry […]

Pyogenic Vertebral Osteomyelitis Presenting as Exudative Pleural Effusion: Methods

The fluid was exudative (pleural fluid lactate dehydrogenase) (LDH) and protein values were 187 IU/L and 4.2 g/dL, respectively; the serum LDII and protein levels were 252 IU/L and 6.2 gm/dL, respectively). No organisms were seen with the Gram stain. Lumbosacral spine films were normal. Ampicillin/ sulbactam 3 g IV q 8 h, was administered […]

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