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06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
[Infectious spondylodiskitis and epidural abscess after spinal puncture for pilonidal sinus excision].
A Pavón Benito1, M J Asensio Martín, A de la Torre Campo
1Servicio de Anestesiología y Reanimación, Hospital Virgen del Camino, Pamplona, Navarra. ruizpavon@yahoo.es
Revista Espanola De Anestesiologia Y Reanimacion
|February 27, 2007
Summary
Vertebral infections post-spinal puncture are rare and not always linked to the procedure. Consider this complication for back pain and fever, even after simple punctures, for timely diagnosis and treatment.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Vertebral infections following spinal puncture are infrequently documented.
- Their incidence is comparable to spontaneous epidural abscesses, questioning a direct causal link.
Observation:
- Analysis of 10 cases revealed inconsistent reporting on aseptic techniques (50%) and prior infections (2 patients).
- Abscesses occurred after simple punctures in 3 cases, with puncture type unspecified in half the reports.
Findings:
- Spinal puncture-associated vertebral infections are rare but should be suspected in patients with back pain and fever, irrespective of neurological deficits or puncture simplicity.
- Early diagnosis and treatment are crucial for improving survival and minimizing neurological deficits.
Implications:
- Urgent magnetic resonance imaging (MRI) is recommended for prompt diagnosis of potential vertebral infections.
- Timely intervention can significantly enhance patient outcomes and reduce long-term neurological complications.
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