Septic facet arthritis in young patient without risk factors
Abstract
A 22-year-old male who had severe acute low back pain with no response to common analgesics is reported.The MRI study showed an inflammatory process in the T8-T9 facet joint and a small epidural collection. Needle drainage was performed under tomographic control and it was isolated Streptococcus agalactiae the culture of the sample. The patient evolved favorably to antibiotic therapy administered, intravenous sodium penicillin G for 3 weeks and other beta-lactam agents orally for 4 weeks. Pyogenic infection of the facet joints is rare.
Downloads
References
Almeer G,Azzopardi C, Kho J, et al.Anatomy and pathology of facet joint. J Orthop. 2020 Apr 8;22:109-117.
Narváez J, Nolla JM, Narváez JA, et al. Spontaneous pyogenic facet joint infection. Semin Arthritis Rheum. 2006 Apr;35(5):272-83.
Halpin D, Gibson R. Septic arthritis of a lumbar facet joint. J Bone Joint Surg Br. 1987;69-B::457–9.
Yoon J, Efendy J, Redmond MJ. Septic arthritis of the lumbar facet joint. Case and literature review. J Clin Neurosci. 2020 Jan;71:299- 303.
Felix E. Diehn, Felix. Imaging of Spine Infection. Radiologic Clinics of North America, 2012. 50(4):777-798.
Moritani T, Kim J, Capizzano A, et al. Pyogenic and non-pyogenic spinal infections: emphasis on diffusion-weighted imaging for the detection of abscesses and pus collections. Br J Radiology. 2014;87(1041). Publicación online: doi.org/10.1259/bjr.20140011
André V, Pot-Vaucel M, Cozic C, et al. Septic arthritis of the facet joint. Med Mal Infect. 2015 Jun;45(6):215-21.
Doita M, Nabeshima Y, Nishida K, et al. Septic arthritis of lumbar facet joints without predisposing infection. J Spinal Disord Tech. 2007 Jun;20(4):290-5.
Muffoletto Anthony J, Ketonen Leena M, Mader Jon T, et al. Hematogenous pyogenic facet joint infection. Spine 2001;26(14):1570–6..
Butler J, Shelly, Martin, Timlin M, et al. Nontuberculous pyogenic spinal infection in adults. Spine. 2006;31(23):2695-2700.
Ergan M, Macro M, Benhamou CL, et al. Septic arthritis of lumbar facet joints: a review of six cases. Rev Rhum Engl Ed. 1997;64:386-95
Cheung WY, Luk KDK. Pyogenic spondylitis. Int Orthop. 2012;36:397- 40.
Michel-Batôt C, Dintinger H, Blum A, et al.A particular form of septic arthritis: septic arthritis of facet joint. Joint Bone Spine. 2008 Jan;75(1):78-83.
Rajeev A, Choudhry N, Shaikh M, et al. Lumbar facet joint septic arthritis presenting atypically as acute abdomen - A case report and review of the literature. Int J Surg Case Rep. 2016;25:243-245.
Bureta C, Tominaga H, Yamamoto T, et al. Lumbar spine epidural abscess and facet joint septic arthritis due to Streptococcus
agalactiae: a case report. BMC Surg. 2018 Mar 13;18(1):16.
Copyright (c) 2021 Aland G. Bisso-Andrade
This work is licensed under a Creative Commons Attribution 4.0 International License.
