Related Experiment Video
Updated: Nov 20, 2025
09:29
Author Spotlight: Improving Percutaneous Vertebroplasty Surgical Accuracy and Efficiency Through Advanced Puncture Techniques
Published on: August 9, 2024
459
Q Fever Vertebral Osteomyelitis Complicating Vertebroplasty
Karina Dorfman1, Ayelet Eran2, Nesrin Ghanem-Zoubi3
1Radiology Department, Bnai-Zion Medical Center, Haifa, Israel.
Rambam Maimonides Medical Journal
|January 22, 2021
Summary
Chronic Q fever, a Coxiella burnetii infection, can manifest as rare vertebral osteomyelitis. This case highlights the importance of considering Q fever in culture-negative osteomyelitis diagnoses, especially in endemic regions.
Area of Science:
- Infectious Diseases
- Bacteriology
- Osteomyelitis
Background:
- Q fever is a zoonotic infection caused by Coxiella burnetii.
- Chronic Q fever, occurring in a minority of patients, commonly presents as endocarditis or infections of vascular prostheses.
- Vertebral osteomyelitis is an uncommon manifestation of chronic Q fever in adults.
Purpose of the Study:
- To report a rare case of chronic Q fever vertebral osteomyelitis.
- To emphasize the importance of considering Q fever in the differential diagnosis of culture-negative osteomyelitis.
Main Methods:
- Case report of an elderly female patient.
- Review of clinical presentation, diagnosis, and treatment.
Main Results:
- The patient presented with chronic Q fever vertebral osteomyelitis at a previous cement vertebroplasty site, complicated by a paravertebral abscess.
- Treatment involved prolonged drainage and a long course of doxycycline and hydroxychloroquine.
Conclusions:
- Osteomyelitis is a rare but significant presentation of chronic Q fever.
- Q fever should be considered in the differential diagnosis of culture-negative osteomyelitis, particularly in endemic areas like Israel.
Related Concept Videos
01:26Pulmonary Tuberculosis IV
288
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
288
01:30Pneumonia III: Complications and Assessment
603
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
603
01:28Pleural Effusion II: Symptoms and Management
416
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
416
01:28Pneumonia IV: Management
583
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
583
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
140
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
140
01:29Endocarditis IV: Nursing Management
147
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
147