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Discitis, or diskitis, is an infection in the intervertebral disc space that affects different age groups. Symptoms include severe back pain, leading to lack of mobility. In adults, it can lead to severe consequences, such as sepsis or epidural abscess, but it can also spontaneously resolve, especially in children under 8 years of age.
A disc herniation or spinal disc herniation is an injury to the intervertebral disc between two vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain , pain or sensation in different parts of the body, and physical disability .
Vertebral osteomyelitis often attacks two vertebrae and the corresponding intervertebral disk, causing narrowing of the disc space between the vertebrae. [6] The prognosis for the disease is dependent on where the infection is concentrated in the spine , the time between initial onset and treatment, and what approach is used to treat the disease.
It causes a kind of tuberculous arthritis of the intervertebral joints. The infection can spread from two adjacent vertebrae into the adjoining intervertebral disc space. If only one vertebra is affected, the disc is normal, but if two are involved, the disc, which is avascular, cannot receive nutrients, and collapses.
The anaerobic bacteria can enter the disc through the breach, causing a low virulent and slowly developing infection. Since the disc is an avascular structure, it is an ideal environment for the growth of anaerobic bacteria. Propionibacterium acnes bacteria secrete propionic acid, which can dissolve fatty bone marrow and bone.
Spondylodiscitis is the most common complication of sepsis or local infection, usually in the form of an abscess. [2] The main causative organisms are staphylococci, but potential organisms include a large number of bacteria, fungi, zoonoses. [2]
Complications may include paralysis, dysphagia (difficulty swallowing), and lung infections. Although DISH manifests in a similar manner to ankylosing spondylitis , they are separate diseases. Ankylosing spondylitis is a genetic disease with identifiable marks, tends to start showing signs in adolescence or young adulthood, is more likely to ...
Lower back pain is associated with a spinal disc infection with anaerobic bacteria, especially the bacterium Cutibacterium acnes. [73] [74] Lupus: Lupus is associated with the viruses parvovirus B19, [75] Epstein-Barr virus, [76] and cytomegalovirus. [77] Lyme disease: Lyme disease is associated with infection by Borrelia miyamotoi, and ...