TY - JOUR ID - TI - Pyogenic Discitis in Female after Deliveryand Pelvic Surgery AU - Sadiq A.Al-Mukhtar AU - Maad M Shalal PY - 2007 VL - 4 IS - 1 SP - 82 EP - 86 JO - Al-Kindy College Medical Journal مجلة كلية الطب الكندي SN - 18109543 25214365 AB - Background: Pyogenic discitis most frequently occurs after home delivery, hemorridectomy, and dilatation and curettage. Discitis is generally due to blood borne bacterial invasion of the disc from adjacent end-plate via communicating vessels. Infective discitis remains an uncommon, but potentially serious cause for back pain. Delayed diagnosis can occur and a high index of suspicion may occur.
Methods: The study included 30 patients suffering from localized low back pain with limitation of movement. Diagnosis was made by history, physical examination and investigation mainly E.S.R and MRI.
Results: 50.3% of patient with discitis had a history of vaginal delivery, 15% had a history of hemorridectomy and 10% had a history of dilatation and curettage and cesarean section surgery. All patients had elevated E.S.R, Positive C-reactive protein and positive MRI finding.
Conclusion, We must think of Pyogenic discitis in any patient with sever backache, fever, local tenderness, and high ESR.
Key words: Discitis, Pyogenic, Infection

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