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Intervertebral disk space infection following translumbar aortography
1Service de Chirurgie Générale et Vasculaire, Centre Hospitlier Régional de Nancy, France.
Abstract:
After 1,748 translumbar aortograms three cases of intervertebral disk space infection were observed over a five-year period, for an incidence of 0.15%. Cultures suggested that the intervertebral disk had been inoculated with digestive tract organisms by the needle used to puncture the aorta. Diagnosis of this complication can be made early by retrieval of the responsible organisms from the intervertebral disk under CT control. Treatment consists of prolonged immobilization associated with appropriate antibiotic therapy for at least three months.
Insights
Translumbar aortograms can lead to rare intervertebral disk space infections caused by digestive tract organisms. Early diagnosis via CT-guided retrieval and treatment with antibiotics and immobilization are crucial.
Area of Science:
- Radiology
- Infectious Diseases
- Spinal Surgery
Background:
- Translumbar aortography is an invasive diagnostic procedure.
- Potential complications include infection, though rare.
Observation:
- Three cases of intervertebral disk space infection occurred after 1,748 translumbar aortograms.
- The incidence rate was 0.15% over a five-year period.
Findings:
- Cultures indicated inoculation by digestive tract organisms via the aortography needle.
- Computed tomography (CT) guidance allows for early diagnosis through organism retrieval.
- Treatment involves prolonged immobilization and a minimum of three months of antibiotic therapy.
Implications:
- Highlights a rare but serious complication of translumbar aortography.
- Emphasizes the importance of early diagnosis and appropriate management for intervertebral disk infections.
- Suggests potential for improved procedural safety protocols.