Research Article
Volume 13 Issue 2 - 2022
Pyogenic Spinal Infection: is Expanded Dengue Syndrome A Risk Factor? – A Series of Ten Cases and Brief Literature Review
Rajsirish BS*
Junior Resident, Department of Orthopaedics, Baby Memorial Hospital, Kozhikode, Kerala, India
*Corresponding Author: Rajsirish BS, Junior Resident, Department of Orthopaedics, Baby Memorial Hospital, Kozhikode, Kerala, India.
Received: May 21, 2021; Published: January 17, 2022




Abstract

Background: An acute surge of pyogenic spinal infection was noted during the recent dengue epidemic in Kerala. Review of literature does not show any association between Dengue fever (DF) and pyogenic spinal infections, though immunosuppression is a well-known risk factor. We report ten such cases of spinal infections to create an awareness among the medical fraternity thereby aiding early management.

Methods and Material: A retrospective review of patients with spinal infections and DF during the month of June and July 2017. No statistical analysis was used.

Results: We had ten patients of DF presenting with varying degrees of neurological compromise and a spectrum of spondylitis, spondylodiscitis and epidural abscess. None of them had significant back pain prior to DF. Though various risk factors like diabetes mellitus and intravenous catherization were present, all of them consistently had documented Expanded dengue syndrome (transient leukopenia, neutropenia and culture positive bacteraemia with DF).

Conclusions: We conclude that there appears to be an association between spinal infections and DF with neutropenia. It is highly recommended that it be considered a part of the expanded dengue syndrome for creating awareness among the physicians, thereby preventing any delay in management.

 

Keywords: Pyogenic Spinal Infection; Dengue Fever; Neutropenia

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Citation: Rajsirish BS. “Pyogenic Spinal Infection: is Expanded Dengue Syndrome A Risk Factor? – A Series of Ten Cases and Brief Literature Review”. EC Orthopaedics 13.2 (2022): 16-25.

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