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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
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Spondylodiscitis: a rare complication following percutaneous nephrostomy
Francesco Chiancone1, Maurizio Fedelini1, Clemente Meccariello1
1Urology Unit, AORN A. Cardarelli, Naples - Italy.
Urologia
|December 3, 2016
Summary
A rare case of spondylodiscitis, an infection of the spine, occurred after a percutaneous nephrostomy. Prompt antibiotic treatment led to recovery, highlighting the importance of considering this complication in patients with fever and back pain post-procedure.
Area of Science:
- Infectious Diseases
- Nephrology
- Neurosurgery
Background:
- Spondylodiscitis is inflammation of the intervertebral disc and adjacent vertebrae.
- It can arise as a complication of medical interventions, including urogenital procedures and catheter use.
Purpose of the Study:
- To report a rare case of spondylodiscitis following percutaneous nephrostomy.
- To emphasize the importance of recognizing this complication in patients presenting with fever and back pain post-procedure.
Main Methods:
- A case report of a 71-year-old male patient presenting with fever and abdominal pain.
- The patient underwent percutaneous nephrostomy and subsequently developed severe back pain and septic fever.
- Diagnosis was confirmed via MRI of the lumbar spine and liquor culture, identifying Extended-spectrum beta-lactamases (ESBL)-producing Escherichia coli.
Main Results:
- Magnetic resonance imaging revealed spondylodiscitis affecting L2-L3 and the ileopsoas muscle.
- Liquor culture confirmed infection with ESBL-producing Escherichia coli.
- The patient's condition resolved completely after antibiotic therapy without significant sequelae.
Conclusions:
- Percutaneous nephrostomy can lead to spondylodiscitis, even with prophylactic antibiotics.
- Risk factors include advanced age, immunosuppression, diabetes, and renal failure.
- Spondylodiscitis should be considered in patients with fever and back pain after percutaneous nephrostomy.
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