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Spontaneous Infectious Discitis in Adults Am J Med 100:85-89, Honan,M.,et al, 1996 See this aricle in Pubmed Article Abstract A wide variety of infecting organisms was identified as causing spontaneous discitis,in contrast to previous reports of both postoperative discitis and spontaneous discitis.Nine of 10 patients with positive disc cultures had negative blood cultures.Appropriate antibiotics were curative in all patients but one,regardless of the duration of symptoms.Nuclear imaging,computed tomography and magnetic resonance imaging were all useful although the last appears to be the most sensitive and specific imaging modality for detecting discitis.Spontaneous infectious discitis is an uncommon cause of low back pain in adults.Nevertheless,it should be considered in any patient with acute or subacute pain.Elevated acute phase reactants with appropriate imaging modality suggest the diagnosis.Given the wide variety of infecting organisms identified,culture of blood and/or disc for the specific causative organism is critical to successful treatment outcome.

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