AI Article Synopsis
- Postoperative infections are common after spine surgery, but infections caused by MTB are rare, especially following a lumbar microdiscectomy.
- A 47-year-old male with a compromised immune system developed a large abscess after surgery, which was treated by drainage and confirmed to be MTB through culture.
- The patient responded well to antitubercular medication, highlighting the need for considering MTB in postoperative infection diagnoses, particularly for immunocompromised patients in regions where tuberculosis is prevalent.
Article Abstract
Background: Postoperative infections are one of the most common complications of spine surgery. However, following a lumbar microdiscectomy, a postoperative infection involving (MTB) is extremely rare.
Case Description: One and half months after a L4-5 microdiscectomy, a 47-year-old immunocompromised male with hepatitis B infection presented with low back and bilateral gluteal pain. The MRI revealed a large intraspinal/paraspinal fluid collection spanning from L4 to S1 along with an anterior epidural collection at L5. The patient underwent a L4 lumbar laminectomy for abscess drainage and wound debridement. After obtaining a positive culture for MTB, four antitubercular drug therapies (ATTs) were started, that is, isoniazid (H), rifampicin (R), ethambutol (E), a. One month later, the patient had minimal pain and no residual neurological deficit.
Conclusion: MTB infection, although rare, should be considered among the differential diagnoses of postoperative infections following lumbar spine surgery in immunocompromised patients living in areas where tuberculosis is endemic.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247726 | PMC |
| http://dx.doi.org/10.25259/SNI_469_2021 | DOI Listing |
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