Heart: infectious endocarditis concurrent pus-convulsive spinalitis

Recently, a study published in Heart, the leading journal of cardiology, focused on assessing the characteristics and prognosis of infectious endocarditis (IE) patients with purulent spinalitis (PS)The secondary purpose is to assess the factors associated with the occurrence of PSresearchers conducted a case-control double-center study of 1,755 patients with PS (n-150) or ps (n-1605)The researchers recorded clinical, microbial and prognostoclist variables for the subjectsPS patients are older (average age is 69.7 x 18 vs66.2 x 14; p-0.004), and arterial hypertension (48% vs34.5% ;p 0.001) and autoimmune diseases (5% vs.2%; p-0.03) have more patients than patients with out of THE PSLumbar vertebrae are most frequently affected (84 patients, accounting for 66%), especially L4-L5Neurological symptoms were observed in 59% of patientsThe incidence of enterococci and thropomic streptococcus was higher in PS patients (24% vs12% and 24% vs11% ;p .0001)The diagnosis of PS in 92 patients was based on contrast-enhanced MRI, 88 patients were based on bone CT and 56 patients were based on 18F-FDG PET/CTThere was no difference between in-hospital mortality (16% vs13.5%, p-0.38) and 1 year mortality (21% vs22%, p-0.82) in patients with or without PS it was followed that PS was a common complication of IE (8.5% of IE) and was observed in patients with high blood pressure combined with enterococci or thropomic streptococcus IE, with a prognosis similar to other forms of IE Because PS is associated with specific treatments, multimodal imaging checks including MRI, CT, and PET/CT should be used to diagnose this complication of endocarditis at an early stage