Discitis after lumbar epidural corticosteroid injection: a case report and analysis of the case report literature

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
W Michael HootenMarc A Huntoon

Abstract

The primary objective is to document the first case report of discitis after a lumbar epidural corticosteroid injection. The second objective is to analyze the case report literature to identify clinical features and trends of patients with infectious complications after spinal injections. Single case report. A MEDLINE and EMBASE literature search was conducted using key words from the names of commonly performed spinal procedures, including epidural corticosteroid, selective nerve root, transforaminal epidural, facet joint, and sacroiliac joint injections. Pain medicine clinic at a tertiary medical center. A 64-year-old man with an 8-year history of left lower extremity radicular pain and recurrent pulmonary infections was referred for a lumbar epidural corticosteroid injection. Six weeks following the injection, the patient returned with a 4-week history of worsening right-sided paraspinous pain without associated recurrent pneumonia. Magnetic resonance imaging revealed a right-sided L5-S1 disc extrusion with discitis and a right L5-S1 discectomy was performed. Cultures of disc material and blood showed growth of coagulase-negative Staphylococcus, and a transesophageal echocardiogram showed no evidence of endocarditis. The pa...Continue Reading

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Citations

May 27, 2009·Current Reviews in Musculoskeletal Medicine·Bradly S GoodmanMatt Bayazitoglu
May 23, 2008·The Clinical Journal of Pain·Ray M Baker
Aug 4, 2015·The Spine Journal : Official Journal of the North American Spine Society·Scott YangAnuj Singla
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Aug 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Savas SencanOsman Hakan Gunduz

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