Idiopathic septic arthritis of a lumbar facet joint associated with paraspinal abscess.
A 48-year-old woman presented with a 1-month history of severe lower back pain on a background of 24 h of mild fever and general tiredness with an associated right-sided foot drop. Five weeks after the onset and with no improvement in symptoms in spite of analgesia and physiotherapy, the patient had a lumbar spine MRI which demonstrated a collection extending from the facet joints of L5 and L6 to the iliacus muscle on the right. A CT-guided aspiration was performed with a lengthy hospital stay for intravenous antibiotic treatment. The culture and sensitivity study of the aspirate isolated Streptococcus pneumoniae.
South Wight Medical Practice, Niton, Isle of Wight, UK.
Margarita Borislavova
MB
Kitova-John
South Wight Medical Practice, Niton, Isle of Wight, UK.
Ali
A
Azim-Araghi
Department of Clinical Radiology, Southampton General Hospital, Southampton, UK.
Faraz Tariq
FT
Sheikh
Department of Neurosurgery, Medical University Plovdiv, Plovdiv, Bulgaria.
Borislav Dimitrov
BD
Kitov
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D013396:Suction; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents