Case of successful treatment of spinal infection in a patient with high comorbidity and septic manifestations-Reference-Cited by-同舟云学术

Case of successful treatment of spinal infection in a patient with high comorbidity and septic manifestations

Published:2024-05-19 Issue:1 Volume: Page:82-87
ISSN:1609-1175
Container-title:Pacific Medical Journal
language:
Short-container-title:Tihookeanskij medicinskij žurnal

Author:

Yarikov A. V.¹^ORCID,Vishnevsky A. A.²,Filyaeva A. S.³,Pavlova E. A.⁴,Perlmutter O. A.³,Fraerman A. P.³,Voloshin V. N.⁵

Affiliation:

1. Privolzhsky District Medical Center ; City Clinical Hospital №. 39 ; Lobachevsky National Research Nizhny Novgorod State University

2. St. Petersburg Research Institute of Phthisiopulmonology

3. City Clinical Hospital №. 39

4. Far Eastern District Medical Center

5. Federal Siberian Scientifi c and Clinical Center

Abstract

The study presents a clinical case of complex treatment of a patient with high comorbidity (Charlson comorbidity index = 6 points) who had severe sepsis (SOFA score = 8 points) with multiple foci of pyogenic infection (spinal epiduritis, paravertebral and subdural abscesses, purulent meningitis, bilateral lower lobe pneumonia). The syndrome-based approach with the use of minimally invasive approaches in the early stages (no later than 12 hours from the onset of clinical manifestations of the disease) ensured a favorable outcome. Based on the results of surgical treatment, a conclusion was made about the tactics of surgical treatment in patients with spinal infection against the background of sepsis.

Publisher

Pacific State Medical University

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