Thoracic Discitis Following ‘Woodbury’ Rash

Abstract

A case of thoracic discitis secondary to a pyodermal skin condition known as 'Woodbury' rash is described.

Iatrogenic spondylodiscitis

“…50 In this report, pyogenic spondylo- following embolization of extramedullary intraspinal arteriovenous fistula Fieve, et al, 1986 following translumbar aortography Griffet, et al, 1986 following lumbar puncture Brunet, et al, 1989 following tracheal intubation Durance, 1989 following urinary catheter placement Cabezudo, et al, 1990 following discitis occurred following iatrogenic inoculation of the bacteria into the prostate gland. Although genitourinary infections are the most common coexisting infections in patients with pyogenic spondylodiscitis, 4,40,47 the coexistence of spondylodiscitis and endocarditis 36 and other infections 46 have also been reported. Pyogenic discitis has occurred due to urinary tract infection, 4 and acute bacterial prostatitis 47 has been reported.…”

“…Identified risk factors for the development of pyogenic spondylodiscitis include increased patient age, liver disease, DM, ankylosing spondylitis, rheumatoid arthritis, trauma, ethanol abuse, intravenous drug abuse, 32 other initial sites of infection, 36,40,46 immunosuppression due to steroid use, organ transplantation 16,26 or infection with human immunodeficiency virus, and malignancy. Rheumatoid arthritis, DM, advanced patient age, and steroid use also increase the risk of developing paralysis caused by spinal osteomyelitis.…”