A Rare Case of Thoracic Pyogenic Facet Joint Infection.

Case Rep Orthop

Saiwai Tsurumi Hospital, 1-21 Toyooka, Tsurumi, Yokohama, Japan 230-0062.

Published: December 2019

AI Article Synopsis

  • Pyogenic facet joint infection is a rare but serious condition, primarily presenting with pain, fever, and possible neurological issues.
  • The case study focuses on a 48-year-old healthy female with thoracic spine infection, which is less common than lumbar cases, presenting with left back pain.
  • MRI revealed significant complications including facet effusion and abscesses, leading to surgery on day six of treatment, resulting in immediate improvement post-operation.

Article Abstract

Pyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thoracic spine. The patient was a 48-year-old immune-competent female who presented with left back pain. Magnetic resonance imaging (MRI) indicated a facet effusion, paraspinal abscess, and epidural abscess in the level of 9th-11th thoracic vertebra. On the 6th day of treatment, she presented a neurological disorder and underwent decompressive laminectomy and surgical debridement. We observed immediate improvement as a result of the surgery.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955119PMC
http://dx.doi.org/10.1155/2019/8252986DOI Listing

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