Spondylitis as a complication of urosepsis and infective endocarditis (case report)

N.A. Tretyakova, V.S. Sukhanin, T.A. Vdovushkina

Samara City Hospital No. 4, Samara

Spondylitis is an inflammatory destructive disease of the spine and its structural components. The urgency of the problem concerning diagnosis of this severe disease is due to the increase in the incidence of this pathology. Diagnosis of spondylitis is difficult, commonly occurs with a significant delay after the first disease signs, despite the availability of modern techniques of neuroimaging. The article describes a clinical case in which a patient experienced back pain in the setting of urosepsis, and the condition was subsequently complicated by the infective endocarditis occurrence. Despite the ongoing antibiotic therapy, the patient still had back pain, there was a neurologic deficit in the form of paraparesis. The diagnosis of spondylitis was established belatedly, 3 months after the disease onset.

The described clinical case showed insufficient alertness of doctors concerning this disease, which led to the late d iagnosis and prescription of pathogenetic treatment, therefore determining the disease outcome. In conclusion, it should be highlighted that protracted back pain in the elderly patient, not relieved by analgesics, combined with fever, as well as with the history of urosepsis and infective endocarditis, are the reasons for repeated spinal neuroimaging.

Keywords: spondylitis, infective endocarditis, urosepsis, spine CT, non-specific inflammatory disease of the spine, diagnostics.

For citation: Tretyakova N.A., Sukhanin V.S., Vdovushkina T.A. Spondylitis as a complication of urosepsis and infective endocarditis (case report). RMJ. 2020;8:37–40.