%0 Journal Article
%T Espondilodiscitis secundaria a anestesia peridural Spondilodiscitis secondary to peridural anesthesia
%A Yvei Gonz芍lez Orlandi
%A Luis Elizondo Barriel
%A Reinel Junco Mart赤n
%A Jorge Rojas Manresa
%J Revista Cubana de Cirug赤a
%D 2010
%I Editorial Ciencias M谷dicas
%X Se presenta el caso de un paciente con espondilodiscitis secundaria al uso de anestesia peridural lumbar para la resecci車n transuretral de una hiperplasia fibroadenomatosa de la pr車stata. El cuadro cl赤nico estuvo determinado por lumbalgia aguda con incremento progresivo que llev車 al confinamiento en cama del paciente. En el examen f赤sico del sistema osteomioarticular predomin車 la contractura paravertebral lumbar, as赤 como en la palpaci車n de esta regi車n. En el examen neurol車gico no se encontraron alteraciones. La tomograf赤a axial computarizada multicorte, as赤 como la gammagraf赤a 車sea de columna lumbar, confirmaron el diagn車stico. Se indic車 tratamiento m谷dico basado en los s赤ntomas, antibioticoterapia combinada y ortesis externa. La recuperaci車n total del paciente ocurri車 a los 6 meses del inicio de la enfermedad. This is the case of a patient presenting with spondilodiscitis secondary to use of lumbar peridural anesthesia for transurethral resection of a prostatic fibroadenoma hyperplasia The clinical picture was determined by a acute lumbar pain with a progressive increase leading to put to bed the patient. In physical examination of osteomyoarticular system there was predominance of lumbar paravertebral contracture, as well as in palpation of this region. In neurological examination there weren't alterations. The multi-scan computed axial tomography and the spine column bone scintigraphy confirmed the diagnosis. Medical treatment was prescribed based on symptoms, combined antibiotic drug therapy and external orthesis. The total recovery of patient occurred at 6 months from the onset of disease.
%K Espondilodiscitis
%K discitis
%K espondilodiscitis
%K anestesia epidural
%K Spondilodiscitis
%K discitis
%K epidural anesthesia
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932010000400011