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	<title>Espondilodiscitis dorsal en paciente de hemodiálisis con enfermedad renal crónica grado V | Gutiérrez Hernández | Medicentro Electrónica</title>
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	<meta name="description" content="Espondilodiscitis dorsal en paciente de hemodiálisis con enfermedad renal crónica grado V" />
			<meta name="keywords" content="espondilodiscitis; bacteriemias; hemodiálisis." />
	
	
	<link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" />

	<meta name="DC.Contributor.Sponsor" xml:lang="en" content=""/>
	<meta name="DC.Contributor.Sponsor" xml:lang="es" content=""/>
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	<meta name="DC.Coverage.spatial" xml:lang="es" content=""/>
	<meta name="DC.Coverage.temporal" xml:lang="en" content=""/>
	<meta name="DC.Coverage.temporal" xml:lang="es" content=""/>
	<meta name="DC.Creator.PersonalName" content="Alejandro Eduardo Gutiérrez Hernández"/>
	<meta name="DC.Creator.PersonalName" content="Jorge López Romero"/>
	<meta name="DC.Creator.PersonalName" content="Henry Luis Vázquez Morales"/>
	<meta name="DC.Date.created" scheme="ISO8601" content="2024-06-18"/>
	<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2024-05-14"/>
	<meta name="DC.Date.issued" scheme="ISO8601" content="2023-09-12"/>
	<meta name="DC.Date.modified" scheme="ISO8601" content="2024-06-18"/>
	<meta name="DC.Description" xml:lang="en" content=" Spondylodiscitis is an infectious and inflammatory process that affects vertebral bodies and intervertebral discs. Its incidence is not frequent in conventional hemodialysis patients and is mainly associated with central venous catheter- related bacteremia. We present a 58-year-old male patient with this history who suffered from pain in the dorsal column. Physical exam revealed pain on percussion of D7-D8 spinous processes, flaccid paraparesis predominantly in the right lower limb. Signal intensity changes in vertebral body were evident at D7-D8 levels on imaging exam. Antibiotic treatment was applied for 8 weeks.    He was discharged with antimicrobial therapy and a spinal column protection with orthosis. Early diagnosis and timely treatment led to a favourable evolution of the patient from a clinical, humoral and imaging point of view. "/>
	<meta name="DC.Description" xml:lang="es" content=" La espondilodiscitis constituye un proceso infeccioso e inflamatorio que afecta los cuerpos vertebrales y discos intervertebrales. En pacientes de hemodiálisis convencional su incidencia no es frecuente y se asocia, fundamentalmente, a bacteriemias relacionadas con el catéter venoso central. Se presenta un paciente masculino de 58 años, con estos antecedentes, aquejado de dolor en la columna dorsal. El examen físico reveló dolor a la percusión de apófisis espinosas D7-D8, paraparesia fláccida con predominio en miembro inferior derecho. En exámenes imagenológicos se evidenciaron, a nivel de D7-D8, cambios en la intensidad de la señal del cuerpo vertebral. Se aplicó tratamiento con antibióticos durante 8 semanas. Se egresa con terapia antimicrobiana y protección de la columna vertebral mediante ortesis. El diagnóstico precoz y el tratamiento oportuno propiciaron una evolución favorable del paciente desde el punto de vista clínico, humoral e imagenológico. "/>
	<meta name="DC.Format" scheme="IMT" content="application/pdf"/>		
	<meta name="DC.Identifier" content="4196"/>
	<meta name="DC.Identifier.pageNumber" content="e4196"/>
		<meta name="DC.Identifier.URI" content="https://medicentro.sld.cu/index.php/medicentro/article/view/4196"/>
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	<meta name="DC.Source" content="Medicentro Electrónica"/>
	<meta name="DC.Source.ISSN" content="1029-3043"/>
	<meta name="DC.Source.Issue" content="0"/>
	<meta name="DC.Source.URI" content="https://medicentro.sld.cu/index.php/medicentro"/>
	<meta name="DC.Source.Volume" content="28"/>
						<meta name="DC.Subject" xml:lang="en" content="spondylodiscitis"/>
								<meta name="DC.Subject" xml:lang="en" content="bacteremia"/>
								<meta name="DC.Subject" xml:lang="en" content="hemodialysis."/>
									<meta name="DC.Subject" xml:lang="es" content="espondilodiscitis"/>
								<meta name="DC.Subject" xml:lang="es" content="bacteriemias"/>
								<meta name="DC.Subject" xml:lang="es" content="hemodiálisis."/>
				<meta name="DC.Title" content="Espondilodiscitis dorsal en paciente de hemodiálisis con enfermedad renal crónica grado V"/>
			<meta name="DC.Title.Alternative" xml:lang="en" content="Dorsal spondylodiscitis in a hemodialysis patient with grade V chronic kidney disease"/>
			<meta name="DC.Type" content="Text.Serial.Journal"/>
	<meta name="DC.Type.articleType" content="Informe de Caso"/>	
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	<meta name="citation_journal_title" content="Medicentro Electrónica"/>
	<meta name="citation_issn" content="1029-3043"/>
        <meta name="citation_author" content="Alejandro Eduardo Gutiérrez Hernández"/>
        <meta name="citation_author_institution" content="Hospital Universitario Clínico-Quirúrgico «Arnaldo Milián Castro». Santa Clara, Villa Clara. Cuba."/>
        <meta name="citation_author" content="Jorge López Romero"/>
        <meta name="citation_author_institution" content="Hospital Universitario Clínico-Quirúrgico «Arnaldo Milián Castro». Santa Clara, Villa Clara. Cuba."/>
        <meta name="citation_author" content="Henry Luis Vázquez Morales"/>
        <meta name="citation_author_institution" content="Hospital Universitario Clínico-Quirúrgico «Arnaldo Milián Castro». Santa Clara, Villa Clara. Cuba."/>
	
<meta name="citation_title" content="Espondilodiscitis dorsal en paciente de hemodiálisis con enfermedad renal crónica grado V"/>

	<meta name="citation_date" content="2024/06/18"/>

	<meta name="citation_volume" content="28"/>
	<meta name="citation_issue" content="0"/>
	<meta name="citation_firstpage" content="e4196"/>
		<meta name="citation_abstract_html_url" content="https://medicentro.sld.cu/index.php/medicentro/article/view/4196"/>
	<meta name="citation_language" content="es"/>
						<meta name="citation_keywords" xml:lang="en" content="spondylodiscitis"/>
								<meta name="citation_keywords" xml:lang="en" content="bacteremia"/>
								<meta name="citation_keywords" xml:lang="en" content="hemodialysis."/>
									<meta name="citation_keywords" xml:lang="es" content="espondilodiscitis"/>
								<meta name="citation_keywords" xml:lang="es" content="bacteriemias"/>
								<meta name="citation_keywords" xml:lang="es" content="hemodiálisis."/>
				<meta name="citation_pdf_url" content="https://medicentro.sld.cu/index.php/medicentro/article/download/4196/3350"/>
	

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	<div id="articleTitle"><h3>Espondilodiscitis dorsal en paciente de hemodiálisis con enfermedad renal crónica grado V</h3></div>
	<div id="authorString"><em>Alejandro Eduardo Gutiérrez Hernández, Jorge López Romero, Henry Luis Vázquez Morales</em></div>

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		<div><p>La espondilodiscitis constituye un proceso infeccioso e inflamatorio que afecta los cuerpos vertebrales y discos intervertebrales. En pacientes de hemodiálisis convencional su incidencia no es frecuente y se asocia, fundamentalmente, a bacteriemias relacionadas con el catéter venoso central. Se presenta un paciente masculino de 58 años, con estos antecedentes, aquejado de dolor en la columna dorsal. El examen físico reveló dolor a la percusión de apófisis espinosas D7-D8, paraparesia fláccida con predominio en miembro inferior derecho. En exámenes imagenológicos se evidenciaron, a nivel de D7-D8, cambios en la intensidad de la señal del cuerpo vertebral. Se aplicó tratamiento con antibióticos durante 8 semanas. Se egresa con terapia antimicrobiana y protección de la columna vertebral mediante ortesis. El diagnóstico precoz y el tratamiento oportuno propiciaron una evolución favorable del paciente desde el punto de vista clínico, humoral e imagenológico.</p></div>

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		<div>espondilodiscitis; bacteriemias; hemodiálisis.</div>

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