Symptoms of spondylodiscitis

definition

Inflammation of the Band washers (Spondylodiscitis) and adjacent vertebral bodies initially leads to uncharacteristic symptoms. Most of the time, the pain and complaints are similar to the symptoms of degenerative wear and tear Spine.

Symptoms of spondylodiscitis

The complaints of the patients with a Spondylodiscitis (Synonym: disc and / or vertebral body infection) can differ greatly depending on the stage of the disease the patient is in.

If it is an advanced, acute inflammation, the most violent local ones exist Back painwhich, depending on the spread of the infection (nerves, muscles), can also radiate. If the bacteria have already spread into the body, there are also all signs of a Blood poisoning. To the Symptoms counting:

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  • fever, chills (Bacteria in the blood)
  • Pain
  • Knocking pain above that Vertebral bodies
  • Increase in inflammation levels (Leukocytes, C. R.active Pred (CRP); Sedimentation rate (ESR)
  • Drop in blood pressure (severe infection, sepsis = blood poisoning)
  • confusion

With less acute courses of the Spondylodiscitis there may be unspecific back pain that can easily be misinterpreted. Increased inflammation values ​​(see above), which cannot be attributed to any other disease (bladder infection, intestinal infection, lung infection, etc.), then give the doctor the decisive information about the presence of spondylodiscitis.

Typical complaints

After one frequently painless initial phase of diseases, initially dull pain in the area of ​​inflammation (Cervical spine, Thoracic spine or Lumbar spine) occur. The pain occurs mostly at night or at burden on. In some patients the pain is of something called a state of the art B symptoms accompanied. That means fever, Weight loss or Night sweats can occur.
In some cases, the pain radiates to other regions, depending on the location. For example, pain in the legs can indicate an inflammation in the lumbar spine area. Pain in the neck or arms is more likely to indicate a disease of the thoracic or cervical spine. If the pain radiates into unspecific regions, for example the abdomen, this can significantly delay the diagnosis. In the case of therapy-resistant neck or back pain, spondylodiscitis should be considered as a suspected diagnosis. A strong one is also typical Tapping and pressure pain over the affected vertebrae.

Complications

If the inflammation is a abscess has formed in the area of ​​the spine and this the Spinal canal constricts, can neurological symptoms occur. Which includes Signs of paralysis, Sensory disturbances or a loss of the Temperature sensitivity. In this case, action must be taken as quickly as possible so that the neurological failures do not persist. If the diagnosis is made too late, it can have devastating consequences for the patient. Through the infection of the intervertebral discs and bony structures, these are increasingly destroyed and lead to Misalignments The spine. This can be done with chronic pain, neurological failures, or one Paraplegia accompanied. Furthermore, the causative bacteria can spread throughout the body and thus become life-threatening sepsis trigger. Also an infestation of the Heart muscle through the bacteria (Endocarditis) is possible and can cause permanent damage to the heart valves, followed by a Heart failure, to lead.