title: Aseptic spondylodiscitis: a complication of chemonucleolysis? A case report.
abstract: Discitis after intradiscal injection of chymodiactin is nearly always associated with an infection introduced by the needle tip. The authors report a patient with a postchemonucleolysis spondylodiscitis who recovered complete without surgery or antibiotics. The clinical findings and results of CRP and MRI suggested an aseptic spondylodiscitis due to chymodiactin.
authors.affiliation: Department of Orthopaedics, De Wever Hospital, Heerlen, Netherlands.
authors.forename: P J
authors.initials: PJ
authors.lastname: Eggen
authors.forename: J P
authors.initials: JP
authors.lastname: ter Bruggen
authors.forename: B B
authors.initials: BB
authors.lastname: Wein
authors.forename: A J
authors.initials: AJ
authors.lastname: Tonino
mesh_terms: D000328:Adult; D002097:C-Reactive Protein / Q000032:analysis; D002917:Chymopapain / Q000009:adverse effects* / Q000627:therapeutic use; D003937:Diagnosis, Differential; D015299:Discitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D007404:Intervertebral Disc Chemolysis / Q000009:adverse effects*; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging
chemical_list: D002097:C-Reactive Protein; D002917:Chymopapain