The Association Between Anatomic Region, Microbial Etiology And Fever Profile In Infectious Rachiditis

Nevila Gjermeni,Dhimiter Kraja,Najada Como,Pellumb Pipero,Arjan Harxhi, Dorina Petani, Arber Gjermeni

INTERNATIONAL JOURNAL of ECOSYSTEMS and ECOLOGY SCIENCE-IJEES（2018）

UHC Tirana

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Abstract

Affections of rachides by infections is an important pathology, with conciderated potenciality of invalidisation. This is a cross-cectional study including 92 cases with IR, with an age range 16-75 years, during March 2005-December 2015. The diagnose of rachidites is based on clinic, imagerr, microbiologic and serologic exams. We noticed affections of all levels of Rachides; lumbar dominated with 32.5 %. We deffer 14 causative agents from which Brucella dominated with 55%. In a lumbar affections the commenest pathogen was Brucella, 72%; in thoracal level was M. tuberculosis, 46.1%. In our study Infectious Rachiditis were presented without fever in 16% of cases. We spotted 5 type of fever: febris intermittent dominated with 38.1% and the most frequent fever accoding to degree of temperature was low grade fever with 26.1% followed by moderate fever 22.8%, high 19.6%, hiperpireksia 4.3%. Intermittent fever was more frecuent in Infectious Rachiditis caused by Brucella with 76.2 %. Microbial spondilodiscits are a complex and problematic pathology in the clinic, microbiologic and imagery level and need a multidisciplinary expensive managing.

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Key words

infectious rachiditis, microbial agents, fever

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