Paraspinal Abscess Complicating Facet Joint Injection

Magee, Mitchell J.; Kannangara, Siri; Dennien, B; Lonergan, Roisin; Emmett, Louise; Wall, Hans Van der

doi:10.1097/00003072-200001000-00024

Cited by 52 publications

(37 citation statements)

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“…In regard to the dissemination of abscess from vertebral facet joints to adjacent muscles, Magee et al [1] asserted that the cause was pyogenic arthritis in the facet joint secondary to direct dissemination of abscess within the muscles in the vicinity of the vertebrae, but such dissemination was insufficient to form an abscess in the intracanal epidura.…”

Section: Discussionmentioning

confidence: 99%

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Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

Rhyu

Park

et al. 2011

Asian Spine J

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Pyogenic arthritis of lumber spinal facet joints is an extremely rare condition. There are only 40 reported cases worldwide. Most cases were associated with history of paravertebral injection, which was not found in our patient. At the time of hospital admission, he had no abnormal magnetic resonance image findings. Two weeks later, he developed pyogenic facet joint arthritis associated with paravertebral and epidural abscess. This report is the first to describe delayed presentation of pyogenic arthritis associated with paravertebral abscess and epidural infection.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, Magee et al [1] reported a case of pyogenic arthritis in the spinal facet joint with simultaneous paraspinal muscle and epidural abscess. In Korea, Lee et al [2] reported a similar case that developed following epidural steroid injection.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

Rhyu

Park

et al. 2011

Asian Spine J

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“…A central nervous system infection, which complicated this case's treatment, from an epidural injection is a rare occurrence, but has a significant potential for morbidity and mortality. In one study, 6.3% of 128 community-acquired bacterial meningitis patients had a history of epidural injections [2]. …”

Section: Discussionmentioning

confidence: 99%

Prosthetic Valve Endocarditis: A Complication of Spinal Epidural Abscess

Bedoya

Gentilesco²

2010

Case Reports in Medicine

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“…13,16,20 It is shown that 58% of all reported cases of facet joint infections had risk factors predisposing them to spinal infection, with extraspinal infection and diabetes mellitus being the most common risk factors. 28 Direct spread of the microorganism from an adjacent structures is less frequent and usually follows spinal procedures, facet joint injection, 13,16,23 epidural anesthesia, 29 and paraspinal pyomiositis.…”

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of Lumbar Facet Joints Without Predisposing Infection

Doita

Nabeshima²,

Nishida³

et al. 2007

Journal of Spinal Disorders &Amp; Techniques

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Septic arthritis of a lumbar facet joint is a rare clinical entity and most articles have reported a single case. There have been few studies that have evaluated the clinical and imaging features of septic arthritis of lumbar facet joints. The clinical data of 5 patients diagnosed with septic arthritis of lumbar facet joints were retrospectively studied. The average age of 5 patients was 73.6 years. All patients had elevated temperature at admission (37.7 degrees C). Leukocyte count was tested in all 5 patients and was elevated in only 2 patients. Erythrocyte sedimentation rate and C-reactive protein were examined and were elevated in all 5 cases. Magnetic resonance imaging was accurate in identifying the septic joint and associated abscess formation. All patients were treated with bed rest and received intravenous antibiotics for an average of 33.3 days. Four of 5 patients had positive outcomes with full recoveries and no evidence of recurrent infections. One patient exhibited evidence of recurrent infection and required open facet arthrotomy and paraspinal muscle debridement after intravenous administration of antibiotics. Septic arthritis of the lumbar facet joint is a rare cause of low back pain. It is important to ascertain the diagnosis at the earliest possible stage and to start intravenous antibiotics therapy as soon as possible. Magnetic resonance imaging is quite a sensitive modality for identifying infection of the lumbar facet joint. Familiarity with its clinical symptoms and radiographic features is necessary to avoid misdiagnosis of this condition.

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Paraspinal Abscess Complicating Facet Joint Injection

Cited by 52 publications

References 0 publications

Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

Pyogenic Arthritis of the Facet Joint with Concurrent Epidural and Paraspinal Abscess: A Case Report

Prosthetic Valve Endocarditis: A Complication of Spinal Epidural Abscess

Septic Arthritis of Lumbar Facet Joints Without Predisposing Infection

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