{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:36Z","timestamp":1787762016532,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>The population around the world is growing in age, and taking care of the elderly has become a medical challenge as new pathologies, risk factors, treatments, and approaches are being explored. One of the most important chapters that should be focused on is falls in the elderly, as it is a common reason for, not only fractures but also dependency, morbidity, and mortality in this population. The chapter on fall is vast and can be further categorized. In this article, we aim to focus on one of the complications, which is discitis post-vertebral fracture. The patient studied was a 78-year-old female patient who consulted post-fall and was admitted to the geriatric ward for a vertebral fracture. The hospitalization was complicated by a spinal infection and later on by a rarely-seen pacemaker lead infection. Vertebral fractures are very common in the geriatric population, whether spontaneously or post-trauma. Although treatment can be surgical or conservative, complications are commonly seen and can be fatal. Discitis is a medical challenge as the germs can be difficult to isolate, the pain management is difficult and in frail elderly patients, the infection and inflammation can be fatal. Prevention of falls is important in the elderly population as a simple slip can have drastic outcomes. Understanding the possible complications of falls is essential for better management.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_207_23","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T04:09:49Z","timestamp":1688443789000},"page":"1234-1236","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A pacemaker lead infection as a complication of a discitis post fall in an elderly: A case report"],"prefix":"10.4103","volume":"12","author":[{"given":"Cima","family":"Hamieh","sequence":"first","affiliation":[{"name":"Groupe Hospitalier Inetercommunal Le Rancy Montfermeil \u2013 Montfermeil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania","family":"Sakr","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center \u2013 Rizk Hospital - Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"El Hussein","sequence":"additional","affiliation":[{"name":"APHP \u2013 Lariboisiere Hospital \u2013 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global prevalence of falls in the older adults:A comprehensive systematic review and meta-analysis","volume":"17","author":"Salari","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"R4-20240828","first-page":"E166","article-title":"Spondylodiscitis after vertebral fracture in the thoracic spine","volume":"38","author":"Nourbakhsh","year":"2009","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"R5-20240828","doi-asserted-by":"crossref","DOI":"10.1055\/s-0036-1582793","article-title":"Post-traumatic spondylodiscitis. Update, series of 17 patients and review of the literature","volume":"6","author":"Abdelrahman","year":"2016","journal-title":"Global Spine J"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s11914-008-0026-4","article-title":"Falls:Epidemiology, pathophysiology, and relationship to fracture","volume":"6","author":"Berry","year":"2008","journal-title":"Curr Osteoporos Rep"},{"key":"R8-20240828","first-page":"388","article-title":"Implantable cardioverter defibrillator pocket infection caused by Klebsiella pneumonia","volume":"12","author":"Ertas","year":"2012","journal-title":"Afri Health Sci"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"96","DOI":"10.3390\/diagnostics11010096","article-title":"A rare entity-percutaneous lead extraction in a very late onset pacemaker endocarditis:Case report and review of literature","volume":"11","author":"Ursaru","year":"2021","journal-title":"Diagnostics (Basel)"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1155\/2012\/927958","article-title":"Cardiac device infection due to streptococcus pneumoniae","volume":"23","author":"Liu","year":"2012","journal-title":"Can J Infect Dis Med Microbiol"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_207_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:11:37Z","timestamp":1787760697000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_207_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_207_23","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-01-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}