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Iatrogenic spondylodiscitis. Case report and review of literature

Erol Taşdemiroğlu1, Ahmet Sengöz, Erdem Bagatur

  • 1Neurosurgery and Orthaopedic Surgery Services, Istanbul Education Hospital of the Institute of Social Security, Istanbul, Turkey. siberasertas@superonline.com

Neurosurgical Focus
|June 19, 2004
PubMed

Insights

Iatrogenic disc space infections can occur after spinal procedures. This paper highlights a rare case of pyogenic spondylodiscitis following transrectal ultrasonography-guided needle biopsy of the prostate (TUGNBP), emphasizing antibiotic prophylaxis.

Area of Science:

  • Infectious Diseases
  • Spinal Surgery
  • Urology

Background:

  • Iatrogenic intervertebral disc space infections are known complications of various spinal interventions.
  • These include microsurgical discectomy, laser disc decompression, and automated percutaneous lumbar nucleotomy.
  • Discography is also associated with a risk of infection.

Purpose of the Study:

  • To report a rare case of pyogenic spondylodiscitis following transrectal ultrasonography-guided needle biopsy of the prostate (TUGNBP).
  • To review the literature concerning uncommon origins of pyogenic spondylodiscitis.
  • To underscore the importance of prophylactic antibiotic therapy in procedures like TUGNBP.

Main Methods:

  • Case report presentation.
  • Comprehensive literature review on pyogenic spondylodiscitis origins.
  • Emphasis on prophylactic antibiotic use in TUGNBP.

Main Results:

  • The study presents the first reported case of pyogenic spondylodiscitis as a complication of TUGNBP in English literature.
  • Literature review confirms the uncommon nature of this specific iatrogenic complication.

Conclusions:

  • Pyogenic spondylodiscitis is a rare but significant complication that can arise after TUGNBP.
  • Prophylactic antibiotic therapy is crucial to mitigate the risk of infection following TUGNBP.
  • Awareness of this complication is important for clinicians performing urological and spinal procedures.

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