What is it about?

Vertebral osteomyelitis is characterized by inflammation and infection of the vertebrae that primarily arises from hematogenous spread or via a direct route. The presenting symptom is most commonly back pain, which if left untreated, can extend to adjacent tissues or organs such as the spinal column, epidural space and pleural space, and lead to life-threatening complications such as mediastinitis. We present here the case of a 70-year-old woman with a mediastinal abscess in the setting of vertebral osteomyelitis.

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Why is it important?

In conclusion, osteomyelitis is an insidious disease that is often found late due to a variable presentation and can have severe neurologic consequences if left untreated. When intrathoracic infection of unknown etiology is present, it is important to keep vertebral osteomyelitis on the differential as it can be a consequence of distant infection or the primary source.

Perspectives

In conclusion, osteomyelitis is an insidious disease that is often found late due to a variable presentation and can have severe neurologic consequences if left untreated. When intrathoracic infection of unknown etiology is present, it is important to keep vertebral osteomyelitis on the differential as it can be a consequence of distant infection or the primary source.

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This page is a summary of: Ascending Posterior Mediastinal Abscess from Vertebral Osteomyelitis - A Case Report and Review of Diagnosis and Management, Journal of Anesthesia and Anesthetic Drugs, November 2021, Acquire Publications LLC,
DOI: 10.54289/jaad2100101.
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