What is included in the long-term monitoring of patients with diskitis?

Updated: May 13, 2020
  • Author: Alvin Marcovici, MD; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Once the correct treatment is implemented, monitor patients to rule out progressive neurologic deficit.

A falling ESR is consistent with successful treatment. Although ESR values should fall by at least one third to one half, rarely do they return to preinfection levels. Reduction of C-reactive protein (CRP) levels has been shown to be more sensitive than ESR in some studies.

Serial radiographic examination is a necessity to detect bony collapse or deformity. Successful treatment is accompanied by appropriate changes, including sclerosis of the endplates, on plain radiography and computed tomography (CT). Nevertheless, radiographic findings are significantly slower than clinical response and cannot be used to assess eradication of infection.


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