A Rare Case of Thoracic Pyogenic Facet Joint Infection

Pyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thorac...

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Main Authors: Tomoyuki Setoue, Jun-ichiro Nakamura
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/8252986
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author Tomoyuki Setoue
Jun-ichiro Nakamura
author_facet Tomoyuki Setoue
Jun-ichiro Nakamura
author_sort Tomoyuki Setoue
collection DOAJ
description Pyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thoracic spine. The patient was a 48-year-old immune-competent female who presented with left back pain. Magnetic resonance imaging (MRI) indicated a facet effusion, paraspinal abscess, and epidural abscess in the level of 9th-11th thoracic vertebra. On the 6th day of treatment, she presented a neurological disorder and underwent decompressive laminectomy and surgical debridement. We observed immediate improvement as a result of the surgery.
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spelling doaj-art-fbdcf2e9a8424d35a5caef75857363c12025-02-03T05:59:42ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/82529868252986A Rare Case of Thoracic Pyogenic Facet Joint InfectionTomoyuki Setoue0Jun-ichiro Nakamura1Saiwai Tsurumi Hospital, 1-21 Toyooka, Tsurumi, Yokohama, 230-0062, JapanSaiwai Tsurumi Hospital, 1-21 Toyooka, Tsurumi, Yokohama, 230-0062, JapanPyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thoracic spine. The patient was a 48-year-old immune-competent female who presented with left back pain. Magnetic resonance imaging (MRI) indicated a facet effusion, paraspinal abscess, and epidural abscess in the level of 9th-11th thoracic vertebra. On the 6th day of treatment, she presented a neurological disorder and underwent decompressive laminectomy and surgical debridement. We observed immediate improvement as a result of the surgery.http://dx.doi.org/10.1155/2019/8252986
spellingShingle Tomoyuki Setoue
Jun-ichiro Nakamura
A Rare Case of Thoracic Pyogenic Facet Joint Infection
Case Reports in Orthopedics
title A Rare Case of Thoracic Pyogenic Facet Joint Infection
title_full A Rare Case of Thoracic Pyogenic Facet Joint Infection
title_fullStr A Rare Case of Thoracic Pyogenic Facet Joint Infection
title_full_unstemmed A Rare Case of Thoracic Pyogenic Facet Joint Infection
title_short A Rare Case of Thoracic Pyogenic Facet Joint Infection
title_sort rare case of thoracic pyogenic facet joint infection
url http://dx.doi.org/10.1155/2019/8252986
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