ro13-9904 and Back-Pain

Infected aortic aneurysm is a rare disease and is often overlooked as a source of infection in septic elderly patients. We present a case of a septic elderly man with a ruptured infected aortic aneurysm caused by

Topics: Aged, 80 and over; Aneurysm, Infected; Anti-Bacterial Agents; Aortic Aneurysm, Abdominal; Back Pain; Ceftriaxone; Discitis; Drainage; Endovascular Procedures; Humans; Male; Psoas Abscess; Salmonella enteritidis; Sepsis; Tomography, X-Ray Computed

We report two cases of multidrug-resistant

Topics: Anti-Bacterial Agents; Azithromycin; Back Pain; Cambodia; Ceftriaxone; Drug Resistance, Multiple, Bacterial; Dysuria; France; Gonorrhea; Heterosexuality; Humans; Male; Microbial Sensitivity Tests; Multilocus Sequence Typing; Neisseria gonorrhoeae; Nucleic Acid Amplification Techniques; Travel; Treatment Outcome; Urethritis; Whole Genome Sequencing

We report a rare case of syphilitic meningomyelitis presenting with visceral crisis and possessing characteristic imaging findings.. The patient, a 50-year-old woman, complained of pain in the upper abdomen and back. She then developed numbness in both lower extremities and weakness in the left lower limb.. Magnetic resonance imaging (MRI) of the spinal cord revealed the candle guttering sign and irregular enhancement at the T6 level. Rapid plasma reagin test of the cerebrospinal fluid yielded a titer of 1:8. Thus, the patient was diagnosed with syphilitic meningomyelitis.. She was treated with ceftriaxone and dexamethasone after the failure of penicillin treatment.. She could perform the activities of daily living, and her pain completely disappeared.. A patient with syphilitic meningomyelitis can present with visceral crisis caused by the involvement of the posterior nerve roots or the posterior horn, which usually occurs in patients with tabes dorsalis. Considering the non-specific symptoms and MRI features, we should be aware that abdominal pain may be a symptom of myelopathy, and syphilitic meningomyelitis ought to be taken into account in a patient with longitudinally extensive myelitis.

Topics: Abdominal Pain; Anti-Bacterial Agents; Anti-Inflammatory Agents; Back Pain; Ceftriaxone; Dexamethasone; Female; Humans; Hypesthesia; Lower Extremity; Middle Aged; Pain; Stomach; Tabes Dorsalis

An 84-year old woman came to the emergency department with sharp back pain on her left side that she'd had for 4 days. The pain radiated to her posterior hips when standing. She said her whole body felt achy and she was experiencing weakness in both legs.

Topics: Aged, 80 and over; Anti-Bacterial Agents; Back Pain; Ceftriaxone; Diagnosis, Differential; Female; Humans; Intervertebral Disc Degeneration; Muscle Weakness; Osteomyelitis; Streptococcal Infections; Streptococcus

Topics: Adrenal Cortex Hormones; Adult; Analgesics; Anti-Bacterial Agents; Back Pain; Bacteremia; Bacterial Toxins; Ceftriaxone; Dominican Republic; Drug Therapy, Combination; Emergencies; Exotoxins; Headache; Humans; Leukocidins; Male; Meningitis, Bacterial; Methicillin-Resistant Staphylococcus aureus; Spain; Staphylococcal Infections; Vancomycin

A previously well 30-year-old man presented with severe progressive back pain, joint pain and fever. Magnetic resonance imaging confirmed an epidural abscess. A sexual history revealed both risk factors for and previous symptoms of a sexually acquired infection. Neisseria gonorrhoeae was isolated from a rectal swab and from a wrist aspirate, consistent with disseminated gonococcal infection. The epidural abscess resolved clinically and radiologically after treatment for N. gonorrhoeae with ceftriaxone.

Topics: Adult; Anti-Bacterial Agents; Arthralgia; Back Pain; Ceftriaxone; Epidural Abscess; Fever; Gonorrhea; Humans; Male; Medical History Taking; Neisseria gonorrhoeae; Treatment Outcome

Topics: Analgesia, Epidural; Anti-Bacterial Agents; Back Pain; Carcinoma, Renal Cell; Ceftriaxone; Fatal Outcome; Humans; Kidney Neoplasms; Male; Meningitis, Bacterial; Middle Aged; Palliative Care; Paraplegia; Urinary Retention

Topics: Accidental Falls; Aged; Aged, 80 and over; Amoxicillin; Anti-Bacterial Agents; Back Pain; Bacteremia; Ceftriaxone; Cephalosporins; Diagnosis, Differential; Discitis; Drug Therapy, Combination; Escherichia coli Infections; Gentamicins; Humans; Lumbar Vertebrae; Male; Penicillins