Facet joint septic arthritis due to community acquired methicillin resistant Staphylococcus aureus (MRSA) – A case report

Purushothaman, Rajesh; Inassi, Jojo; Marthya, Anwar

doi:10.1016/j.jor.2015.01.029

Journal of Orthopaedics

2015

DOI: 10.1016/j.jor.2015.01.029

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Facet joint septic arthritis due to community acquired methicillin resistant Staphylococcus aureus (MRSA) – A case report

Rajesh Purushothaman

Jojo Inassi

Anwar Marthya³

Abstract: Septic arthritis of facet joint (SAFJ) is extremely rare. Only about sixty cases have been reported so far. A single case of SAFJ in a series of 491 cases of spinal infections was first reported by David-Chaussé in 1981. A case report of SAFJ was published by Halpin in 1987. With the growing availability and use of MRI, more and more cases are being reported. The most common organism that causes SAFJ is Staphylococcus aureus. We are reporting a case of SAFJ caused by community acquired, methicillin resistant S… Show more

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Cited by 2 publications

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“…Reports of facet joint arthritis due to CA-MRSA infection have been reported. [3,4] However, intraspinal abscess formation caused by CA-MRSA infection has not been previously reported.…”

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confidence: 99%

A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection

Zhang

Tang

Peng

2019

Chinese Medical Journal

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“…Reports of facet joint arthritis due to CA-MRSA infection have been reported. [3,4] However, intraspinal abscess formation caused by CA-MRSA infection has not been previously reported.…”

mentioning

confidence: 99%

A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection

Zhang

Tang

Peng

2019

Chinese Medical Journal

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Septic Arthritis of the Spinal Facet Joint: Review of 117 Cases

Ross,

Ard

2024

Open Forum Infectious Diseases

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Background Septic arthritis of the spinal facet joints is increasingly recognized in the era of magnetic resonance imaging, but its epidemiology, clinical features, management, and prognosis are ill-defined. Methods We review 101 previously published cases, and report 16 cases occurring at our institutions between 2006 and 2018. Results Most patients presented with fever (60%) and back or neck pain (86%). Radiation into the hip, buttock, or limb was present in 34%. The lumbosacral vertebral segments were involved in 78% of cases. Most cases (64%) were due to Staphylococcus aureus. Bacteremia was present in 66%, and paraspinal muscle abscesses in 54%. While epidural abscesses were present in 56%, neurological complications were seen in only 9%, likely because most abscesses arose below the conus medullaris. Neurologic complications were more common with cervical or thoracic involvement than lumbosacral (32% vs 2%, p < 0.0001). Extraspinal infection, such as endocarditis, was identified in only 22% of cases. 98% of patients survived, with only 5% having neurologic sequelae. Conclusions Septic arthritis of the facet joint is a distinct clinical syndrome typically involving the lumbar spine, and frequently associated with bacteremia, posterior epidural abscesses, and paraspinal pyomyositis. Neurologic outcomes are usually good with medical management alone.

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Facet joint septic arthritis due to community acquired methicillin resistant Staphylococcus aureus (MRSA) – A case report

Cited by 2 publications

References 22 publications

A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection

A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection

Septic Arthritis of the Spinal Facet Joint: Review of 117 Cases

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