Thoracic pyogenic infectious spondylitis presented as pneumothorax: A case report
Mi-Kyung Cho1, Byeong-Ju Lee2, Jae-Hyeok Chang1
1Department of Rehabilitation Medicine, Pusan National University Hospital, Busan 49241, South Korea.
World Journal of Clinical Cases
|March 1, 2021
Summary
Pyogenic infectious spondylitis (PIS) is a rare spinal infection. This case report details a rare instance of thoracic PIS complicated by pneumothorax in a 65-year-old male patient.
Area of Science:
- Spinal infections
- Thoracic surgery
- Infectious diseases
Background:
- Pyogenic infectious spondylitis (PIS) is a rare condition with a low incidence rate.
- Back or neck pain is the most common symptom, affecting over 90% of patients.
- This report focuses on a unique case of thoracic PIS.
Observation:
- A 65-year-old male presented with chest pain and dyspnea.
- Imaging revealed pneumothorax, pleural effusion, and a paravertebral abscess with vertebral destruction.
- Staphylococcus aureus infection was identified as the cause of the lung complications.
Findings:
- The patient was diagnosed with thoracic infectious spondylitis with an anterior paravertebral abscess.
- Treatment involved antibiotics and neurosurgery, followed by physical therapy.
- The patient recovered without chest pain, dyspnea, or new thoracic lesions post-treatment.
Implications:
- This is the first reported case of thoracic PIS complicated by pneumothorax.
- Highlights the potential for contiguous spread of spinal infections to the pleura.
- Emphasizes the importance of prompt diagnosis and comprehensive management for PIS with thoracic complications.
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