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.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Publication types: Case Reports ; Journal Article
Infection of an intervertebral disk is a serious condition. Diagnosis often is elusive and difficult. It is imperative to obtain appropriate microbiological specimens before initiation of treatment. The authors describe a 51-year-old woman with lumbar spondylodiscitis that was because of infection after the placement of an epidural catheter for postoperative analgesia. A spinal magnetic resonance imaging confirmed the diagnosis, but computed tomography-guided fine needle biopsy did not provide adequate material for a microbiologic diagnosis. Laparoscopic biopsies of the involved disk provided good specimens and a diagnosis of Propionibacterium acnes infection. The authors believe that this minimally invasive procedure should be performed when computed tomography-guided fine needle biopsy does not provide a microbiologic diagnosis in spondylodiscitis.
Analgesia, Epidural, Biopsy, Needle, Discitis, Female, Gram-Positive Bacterial Infections, Humans, Laparoscopy, Lumbar Vertebrae, Magnetic Resonance Imaging, Microbial Sensitivity Tests, Middle Aged, Propionibacterium acnes, Radiography, Interventional, Sensitivity and Specificity, Tomography, X-Ray Computed
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