Pyogenic discitis in female after delivery and pelvic surgery

الملخص EN

Background : Pyogenic discitis most frequently occurs after home delivery, hemorridectomy, and dilatation and curettage.

Discitis is generally due to blood borne bacterial invasion of the disc from adjacent end-plate via communicating vessels.

Infective discitis remains an uncommon, but potentially serious cause for back pain.

Delayed diagnosis can occur and a high index of suspicion may occur.

Methods : The study included 30 patients suffering from localized low back pain with limitation of movement.

Diagnosis was made by history, physical examination and investigation mainly E.S.R and MRI.

Results : 50.

3 % of patient with discitis had a history of vaginal delivery, 15 % had a history of hemorridectomy and 10 % had a history of dilatation and curettage and cesarean section surgery.

All patients had elevated E.

S.

R, Positive C-reactive protein and positive MRI finding.

Conclusion, We must think of Pyogenic discitis in any patient with sever backache, fever, local tenderness, and high ESR