REBEL Core Cast 107.0 – Vertebral Osteomyelitis
REBEL Cast
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Diagnosis and Management of Vertebral Osteomyelitis
This chapter emphasizes the importance of using MRI for diagnosis and discusses the challenges of pathogen-directed therapy in the emergency department. It recommends withholding antibiotics until the pathogen is identified and highlights the need for surgical consultation for patients with neurologic symptoms.
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Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. Baseline labs should not guide diagnosis, but may assist in later management. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric ... 
