July 30, 2015
The Infectious Diseases Society of America has published new guidelines in Clinical Infectious Diseases addressing research gaps in the diagnosis and management of native vertebral osteomyelitis.
A panel of nine infectious disease specialists, a spine orthopedic surgeon and a neuroradiologist wrote that native vertebral osteomyelitis (NVO), a condition in which bacteria enter the bloodstream and become embedded in a disc, is an uncommon infection that mainly occurs in older patients. According to a press release, two to six out of 100,000 patients develop NVO annually. This incidence is rising, however, due to an increase in susceptible populations, including IV drug users, patients on hemodialysis and immunocompromised hosts. Moreover, the ambiguous back and neck pain symptoms associated with NVO frequently deflect diagnosis.