Pyogenic Arthritis and Paraspinal Abscess Following Facet Joint Steroid Injection - A Case Report -

Lee, Jae Chul; Doh, Hyun-Woo; Cho, Young-Il; Kim, Kyung-Je; Kim, Yon-Il; Shin, Byung-Joon

doi:10.4184/jkss.2003.10.2.196

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…While most cases are thought to occur via hematogenous spread [3,4], there are some case reports in the literature where septic arthritis of the facet joint resulted from iatrogenic causes, including steroid injection and epidural catheterization [7][8][9]. These infections can also occur secondary to the spread of adjacent infections, such as spondylodiscitis, epidural or paraspinal abscess, psoas muscle abscess, and other intra-abdominal infections [5].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Thoracic Pyogenic Facet Joint Infection

Setoue

Nakamura

2019

Case Reports in Orthopedics

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Pyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thoracic spine. The patient was a 48-year-old immune-competent female who presented with left back pain. Magnetic resonance imaging (MRI) indicated a facet effusion, paraspinal abscess, and epidural abscess in the level of 9th-11th thoracic vertebra. On the 6th day of treatment, she presented a neurological disorder and underwent decompressive laminectomy and surgical debridement. We observed immediate improvement as a result of the surgery.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Thoracic Pyogenic Facet Joint Infection

Setoue

Nakamura

2019

Case Reports in Orthopedics

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“…3 In other reports, the authors show that it can be secondary to vertebral body osteomyelitis, epidural abscess, paraspinal abscess, and even be a complication of a steroid injection. 2,4 According to reported epidemiology, the most common organisms causing septic arthritis of the facet joints by hematogenous spread are S. aureus (70% of the cases) and Staphylococcus epidermidis. 2,5,6 Other bacterial organisms such as Streptococcus and gram-negative rods are also reported.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Septic Arthritis of Lumbar Facet Joint with Epidural Abscess, and Bacterial Meningitis Caused by Methicillin-Sensitive Staphylococcus aureus

Morán

Munoz

Matta

et al. 2018

IJNS

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Septic arthritis of the facet joint is an extremely rare condition, even more in young immunocompetent patients. There have been approximately only 40 cases of this entity reported worldwide. Here, the authors present a 16-year-old male patient with lower back pain, fever, and cephalea. Blood cultures and cerebrospinal fluid analysis confirmed methicillin-sensitive Staphylococcus aureus infection, and magnetic resonance imaging showed septic arthritis of the lumbar left facet joint L3 and epidural abscess. Intravenous oxacillin was administered, and the patient improved. No other treatment was required.

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“…Until now, approximately 40 cases have been reported in the literature. Recently, the development of pyogenic arthritis in the spinal facet joint following steroid injection to the facet joint has been reported in the literature [ 2 ]. Nonetheless, we thought it would be valuable to discuss our experience, because idiopathic pyogenic arthritis in the spinal facet joint is predominantly a secondary infection caused by pyogenic arthritis in the vertebral body.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, Magee et al [ 1 ] reported a case of pyogenic arthritis in the spinal facet joint with simultaneous paraspinal muscle and epidural abscess. In Korea, Lee et al [ 2 ] reported a similar case that developed following epidural steroid injection. However, there is no reported case of idiopathic pyogenic arthritis in the literature.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

Rhyu

Park

et al. 2011

Asian Spine J

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Pyogenic arthritis of lumber spinal facet joints is an extremely rare condition. There are only 40 reported cases worldwide. Most cases were associated with history of paravertebral injection, which was not found in our patient. At the time of hospital admission, he had no abnormal magnetic resonance image findings. Two weeks later, he developed pyogenic facet joint arthritis associated with paravertebral and epidural abscess. This report is the first to describe delayed presentation of pyogenic arthritis associated with paravertebral abscess and epidural infection.

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Pyogenic Arthritis and Paraspinal Abscess Following Facet Joint Steroid Injection - A Case Report -

Cited by 4 publications

References 11 publications

A Rare Case of Thoracic Pyogenic Facet Joint Infection

A Rare Case of Thoracic Pyogenic Facet Joint Infection

A Rare Case of Septic Arthritis of Lumbar Facet Joint with Epidural Abscess, and Bacterial Meningitis Caused by Methicillin-Sensitive Staphylococcus aureus

Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

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