Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
The role of laparoscopic biopsies in lumbar spondylodiscitis.
Publication types: Case Reports ; Journal Article
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.
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
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