title: Vertebral osteomyelitis following vertebroplasty: is acne a potential contraindication and are prophylactic antibiotics mandatory prior to vertebroplasty?
abstract: We present a case of vertebral osteomyelitis following vertebroplasty in a patient with acne of the back. Vertebral biopsy revealed Corynebacterium species and blood cultures were positive for Propionibacterium species. The patient did not respond to long-term intravenous antibiotics and required vertebral corpectomy and debridement with instrumentation. Interventionalists should be able to recognize acne of the back and consider this as a potential contraindication to vertebroplasty. Prophylactic antibiotics should be considered in all patients prior to vertebroplasty since subepidermal organisms are not eliminated with the standard skin prep.
authors: Dayton Interventional Radiology, Dayton, OH 45409, USA. mubinsyed@aol.com
authors: Mubin I
authors: MI
authors: Syed
authors: Bindu
authors: B
authors: Avutu
authors: Azim
authors: A
authors: Shaikh
authors: Hannah
authors: H
authors: Sparks
authors: Mutahher Ibarze
authors: MI
authors: Mohammed
authors: Kamal
authors: K
authors: Morar
mesh_terms: D000152:Acne Vulgaris / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control*; D054854:Vertebroplasty / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents