The role of laparoscopic biopsies in lumbar spondylodiscitis.
Détails
ID Serval
serval:BIB_8AEB1FE90AF9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
The role of laparoscopic biopsies in lumbar spondylodiscitis.
Périodique
Surgical Endoscopy
ISSN
1432-2218[electronic]
Statut éditorial
Publié
Date de publication
2000
Volume
14
Numéro
11
Pages
1086
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
The infection of an intervertebral disk is a serious condition. The diagnosis often is elusive and difficult to make. It is imperative to have appropriate microbiologic specimens before the initiation of treatment. We report the case of a 51-year-old woman with lumbar spondylodiscitis caused by infection after the placement of an epidural catheter for postoperative analgesia. A spinal magnetic resonance imaging (MRI) scan confirmed the diagnosis, but computed tomography (CT)-guided fine-needle biopsy did not yield adequate material for a microbiologic diagnosis. Laparoscopic biopsies of the involved disk provided good specimens and a diagnosis of Propionibacterium acnes infection. We believe that this minimally invasive procedure should be performed when CT-guided fine-needle biopsy fails to yield a microbiologic diagnosis in spondylodiscitis.
Mots-clé
Anesthesia, Epidural, Biopsy, Needle, Discitis, Female, Gram-Positive Bacterial Infections, Humans, Laparoscopy, Lumbar Vertebrae, Magnetic Resonance Imaging, Middle Aged, Pain, Postoperative, Propionibacterium acnes, Tomography, X-Ray Computed
Pubmed
Création de la notice
28/01/2008 10:01
Dernière modification de la notice
20/08/2019 15:49