Vertebral osteomyelitis following vertebroplasty: is acne a potential contraindication and are prophylactic antibiotics mandatory prior to vertebroplasty?
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.
Syed
Mubin I
MI
Dayton Interventional Radiology, Dayton, OH 45409, USA. mubinsyed@aol.com
Avutu
Bindu
B
Shaikh
Azim
A
Sparks
Hannah
H
Mohammed
Mutahher Ibarze
MI
Morar
Kamal
K
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*
D000900:Anti-Bacterial Agents