Lumbar Facet Joint Infection Associated With Epidural and Paraspinal Abscess

Baltz, Matthew S.; Tate, David E.; Glaser, John A.

doi:10.1097/00003086-199706000-00015

Cited by 32 publications

(12 citation statements)

References 6 publications

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“…20 Immunocompromised patients (eg, diabetes mellitus, liver disease, alcohol abuse, intravenous drug abuse, chronic steroid usage) may be at risk for developing a facet joint infection without clinical evidence of infection elsewhere in the body. [3][4][5][7][8][9][10]27,28 Average age of our patients is 73.6 years (range 70 to 78 y) and is older than that of the patients reviewed by Ergan et al 27 (mean age is 63 y) or by Muffoletto et al 28 (mean age is 55 y). Therefore, aging itself may also be a risk factor for a facet joint infection.…”

Section: Discussionmentioning

confidence: 95%

“…Surgical intervention is indicated when neurologic dysfunction is present or when treatment with appropriate antibiotics fails to control the infection as manifested by continued evidence of sepsis. 3,8,10 CONCLUSIONS Septic arthritis of the lumbar facet joint is a rare cause of low back pain. Because of very serious complications, it is of the utmost importance to ascertain the diagnosis at the earliest possible stage and to start intravenous antibiotics therapy as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Septic Arthritis of Lumbar Facet Joints Without Predisposing Infection

Doita

Nabeshima²,

Nishida³

et al. 2007

Journal of Spinal Disorders &Amp; Techniques

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Septic arthritis of a lumbar facet joint is a rare clinical entity and most articles have reported a single case. There have been few studies that have evaluated the clinical and imaging features of septic arthritis of lumbar facet joints. The clinical data of 5 patients diagnosed with septic arthritis of lumbar facet joints were retrospectively studied. The average age of 5 patients was 73.6 years. All patients had elevated temperature at admission (37.7 degrees C). Leukocyte count was tested in all 5 patients and was elevated in only 2 patients. Erythrocyte sedimentation rate and C-reactive protein were examined and were elevated in all 5 cases. Magnetic resonance imaging was accurate in identifying the septic joint and associated abscess formation. All patients were treated with bed rest and received intravenous antibiotics for an average of 33.3 days. Four of 5 patients had positive outcomes with full recoveries and no evidence of recurrent infections. One patient exhibited evidence of recurrent infection and required open facet arthrotomy and paraspinal muscle debridement after intravenous administration of antibiotics. Septic arthritis of the lumbar facet joint is a rare cause of low back pain. It is important to ascertain the diagnosis at the earliest possible stage and to start intravenous antibiotics therapy as soon as possible. Magnetic resonance imaging is quite a sensitive modality for identifying infection of the lumbar facet joint. Familiarity with its clinical symptoms and radiographic features is necessary to avoid misdiagnosis of this condition.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of Lumbar Facet Joints Without Predisposing Infection

Doita

Nabeshima²,

Nishida³

et al. 2007

Journal of Spinal Disorders &Amp; Techniques

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“…4 Occurrence of both epidural abscess and paraspinal abscess together also has been reported. 22 Other associations reported were endocarditis 22,23 and sternoclavicular joint involvement. 21 S. aureus is the most commonly reported organism.…”

Section: Discussionmentioning

confidence: 99%

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

Purushothaman

Inassi

Marthya³

2015

Journal of Orthopaedics

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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 aureus (MRSA) successfully treated by Linezolid.

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“…La fièvre est un élément inconstant mais le syndrome inflammatoire biologique est toujours présent, associé ou non à une polynucléose, que ce soit dans nos observations ou dans la littérature [1,13]. Les complications signalées dans la littérature sont, d'une part, les complications locales à type d'épidurite [16,[18][19][20][21][22] et, d'autre part, les complications à distance, plus rares, telles que l'endocardite [5], la spondylodiscite [14] et d'autres foyers septiques ostéoarticulaires (sternoclaviculaire) [17]. Pour certains auteurs [23], l'arthrite septique de l'AIAP serait une manifestation initiale de spondylodiscite.…”

Section: Discussionunclassified