Asian Spine Journal
Asian Spine Journal Letter to the Editor
Asian Spine J 2014;8(3):391 • http://dx.doi.org/10.4184/asj.2014.8.3.391 Title Management of pyogenic discitis 391
Management of Pyogenic Discitis Beuy Joob1, Viroj Wiwanitkit2,3,4 1
Medical Academic Center, Bangkok, Thailand 2 Hainan Medical University, China 3 Faculty of Medicine, University of Nis, Nis, Serbia 4 Joseph Ayobabalola University, Ikeji-Arakeji, Nigeria
Conflict of Interest
Sir, The recent report on “management of pyogenic discitis” is very interesting [1]. Devkota et al. [1] noted that “antibiotics therapy should be started only after isolating the bacteria and making the culture sensitivity report.” In fact, the identification of the pathogen is very important for the proper management of infective discitis. However, an organism negative case remains an important problem. This is a big challenge and can be often seen in the clinical practice. According to the report by Kehrer et al. [2], more than 20 % of cases had negative culture results. In the tropical world, most of those cases are usually managed as tuberculous discitis and a long term antibiotic treatment with close follow-up is suggested. As Kehrer et al. [2] noted; “the overall incidence of Staphylococcus aureus and culture negative cases of spondylodiscitis increased and remained highest among the elderly.”
No potential conflict of interest relevant to this article was reported.
References 1. Devkota P, Krishnakumar R, Renjith Kumar J. Surgical management of pyogenic discitis of lumbar region. Asian Spine J 2014;8:177-82. 2. Kehrer M, Pedersen C, Jensen TG, Lassen AT. Increasing incidence of pyogenic spondylodiscitis: a 14–year population-based study. J Infect 2014;68:31320.
Received Apr 25, 2014; Revised Apr 25, 2014; Accepted Apr 28, 2014 Corresponding author: Beuy Joob Sanitation 1 Medical Academic Center, Phyathai Bangkok 10330, Thailand Tel: +6624658292, Fax: +6624658292, E-mail: [email protected]
ASJ
Copyright Ⓒ 2014 by Korean Society of Spine Surgery
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Asian Spine Journal • pISSN 1976-1902 eISSN 1976-7846 • www.asianspinejournal.org
Asian Spine Journal Letter to the Editor
Asian Spine J 2014;8(3):391 • http://dx.doi.org/10.4184/asj.2014.8.3.391 Title Management of pyogenic discitis 391
Management of Pyogenic Discitis Beuy Joob1, Viroj Wiwanitkit2,3,4 1
Medical Academic Center, Bangkok, Thailand 2 Hainan Medical University, China 3 Faculty of Medicine, University of Nis, Nis, Serbia 4 Joseph Ayobabalola University, Ikeji-Arakeji, Nigeria
Conflict of Interest
Sir, The recent report on “management of pyogenic discitis” is very interesting [1]. Devkota et al. [1] noted that “antibiotics therapy should be started only after isolating the bacteria and making the culture sensitivity report.” In fact, the identification of the pathogen is very important for the proper management of infective discitis. However, an organism negative case remains an important problem. This is a big challenge and can be often seen in the clinical practice. According to the report by Kehrer et al. [2], more than 20 % of cases had negative culture results. In the tropical world, most of those cases are usually managed as tuberculous discitis and a long term antibiotic treatment with close follow-up is suggested. As Kehrer et al. [2] noted; “the overall incidence of Staphylococcus aureus and culture negative cases of spondylodiscitis increased and remained highest among the elderly.”
No potential conflict of interest relevant to this article was reported.
References 1. Devkota P, Krishnakumar R, Renjith Kumar J. Surgical management of pyogenic discitis of lumbar region. Asian Spine J 2014;8:177-82. 2. Kehrer M, Pedersen C, Jensen TG, Lassen AT. Increasing incidence of pyogenic spondylodiscitis: a 14–year population-based study. J Infect 2014;68:31320.
Received Apr 25, 2014; Revised Apr 25, 2014; Accepted Apr 28, 2014 Corresponding author: Beuy Joob Sanitation 1 Medical Academic Center, Phyathai Bangkok 10330, Thailand Tel: +6624658292, Fax: +6624658292, E-mail: [email protected]
ASJ
Copyright Ⓒ 2014 by Korean Society of Spine Surgery
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Asian Spine Journal • pISSN 1976-1902 eISSN 1976-7846 • www.asianspinejournal.org
