Paraspinal abscess complicated by endocarditis following a facet joint injection.
Infectious complications secondary to lumbar facet injections are exceedingly rare, follow an indolent course, and local sequelae include abscess spread or infections of the central nervous system. We present the case of the development of a facet abscess and infective endocarditis, which developed shortly after a lumbar facet injection. With the increase in interventional pain procedures, physicians must be aware of potential infectious complications.
Hoelzer
Bryan C
BC
Department of Anesthesiology, Mayo Clinic College of Medicine, Mayo Clinic, 200 First Street, S.W., Rochester, MN 55905, USA.
Weingarten
Toby N
TN
Hooten
W Michael
WM
Wright
R Scott
RS
Wilson
Walter R
WR
Wilson
Peter R
PR
D000038:Abscess / Q000209:etiology* / Q000382:microbiology; D000368:Aged; D015360:Analgesia, Epidural / Q000009:adverse effects*; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002045:Bupivacaine / Q000008:administration & dosage / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects*; D008012:Lidocaine / Q000008:administration & dosage / Q000627:therapeutic use; D017116:Low Back Pain / Q000188:drug therapy; D008159:Lumbar Vertebrae; D008297:Male; D016106:Methicillin Resistance; D009254:Nafcillin / Q000008:administration & dosage / Q000627:therapeutic use; D011128:Polyradiculopathy / Q000150:complications / Q000188:drug therapy; D012447:Sacrum; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014221:Triamcinolone / Q000008:administration & dosage / Q000627:therapeutic use; D014640:Vancomycin / Q000008:administration & dosage / Q000627:therapeutic use; D021801:Zygapophyseal Joint
D018712:Analgesics, Non-Narcotic; D005839:Gentamicins; D014221:Triamcinolone; D009254:Nafcillin; D014640:Vancomycin; D008012:Lidocaine; D002045:Bupivacaine