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
Titre
The role of laparoscopic biopsies in lumbar spondylodiscitis.
Périodique
Surgical Endoscopy
Auteur(s)
Corpataux J.M., Halkic N., Wettstein M., Dusmet M.
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
03/03/2018 19:10
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