Discitis after lumbar epidural corticosteroid injection: A case report and analysis of the case report literature

Pain Medicine

Volumn 7, Issue 1, 2006, Pages 46-51

  Hooten, W Michael ^a   Mizerak, Andrew ^b   Carns, Paul E ^a   Huntoon, Marc A ^a  

^a Mayo Clinic   (United States)

^b MAYO CLINIC COLLEGE OF MEDICINE   (United States)

Author keywords

Complication; Discitis; Epidural corticosteroid injection; Infection

Indexed keywords

C REACTIVE PROTEIN; CORTICOSTEROID; VANCOMYCIN;

ADULT; CASE REPORT; CLINICAL FEATURE; COAGULASE NEGATIVE STAPHYLOCOCCUS; DISKITIS; ERYTHROCYTE SEDIMENTATION RATE; FOLLOW UP; HUMAN; HUMAN TISSUE; INTERVERTEBRAL DISKECTOMY; LUNG INFECTION; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; POSTOPERATIVE PERIOD; RADICULAR PAIN; REVIEW; SYMPTOMATOLOGY; TISSUE CULTURE;

ADRENAL CORTEX HORMONES; ANTI-BACTERIAL AGENTS; DISCITIS; HUMANS; INJECTIONS, EPIDURAL; INJECTIONS, INTRAVENOUS; INTERVERTEBRAL DISK; LOW BACK PAIN; LUMBAR VERTEBRAE; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; RADICULOPATHY; SCIATICA; STAPHYLOCOCCAL INFECTIONS; TREATMENT OUTCOME;

EID: 33644773501     PISSN: 15262375     EISSN: 15264637     Source Type: Journal    
DOI: 10.1111/j.1526-4637.2006.00088.x     Document Type: Review

References (32)

1. Hooten WM. Infectious complications of commonly performed spinal injections. Semin Pain Med 2004;2: 208-14.
2. Yue W, Tan S. Distant skip level discitis and vertebral osteomyelitis after caudal epidural injection: A case report of a rare complication of epidural injections. Spine 2003;28: E209-11.
3. Shealy CN. Dangers of spinal injections without proper diagnosis. JAMA 1966;197: 1104- 6.
4. Dougherty JH, Fraser RAR. Complications following intraspinal injections of steroids report of two cases. J Neurosurg 1978;48: 1023-5.
5. Chan ST, Leung S. Spinal epidural abscess following steroid injection for sciatica case report. Spine 1989;14: 106-7.
6. Goucke CR, Graziotti P. Extradural abscess following local anaesthetic and steroid injection for chronic low back pain. Br J Anaesth 1990;65: 427-9.
7. Waldman SD. Cervical epidural abscess after cervical epidural nerve block with steroids. Anesth Analg 1991;72: 713-8.
8. Bromage PR. Spinal extradural abscess: Pursuit of vigilance. Br J Anaesth 1993;70: 471-3.
9. Mamourian AC, Dickman CA, Drayer BP, Sonntag VK. Spinal epidural abscess: Three cases following spinal epidural injection demonstrated with magnetic resonance imaging. Anesthesiology 1993;78: 204-7.
10. Parlier-Cuau C, Carlier PD, Silva M, Doyon D. Subdural abscesses, a rare complication of epidural infiltration. Report of one case and review of the literature. J Radiol 1993;74: 205-9.
11. Cooper AB, Sharpe MD. Bacterial meningitis and cauda equina syndrome after epidural steroid injections. Can J Anaesth 1996;43: 471-4.
12. Knight JW, Corkingley JJ, Palazzo MGA. Epidural abscess following epidural steroid and local anaesthetic injection. Anaesthesia 1997;52: 576-8.
13. Goris H, Wilms G, Hermans B, Schillebeeckx J. Spinal epidural abscess complicating epidural infiltration: CT and MR findings [letter]. Eur Radiol 1998;8: 1058.
14. Kluba T, Martini F. Spinal epidural abscess following steroid injection for sciatica. Aktuel Rheumatol 1998;23: 182-3.
15. Yamaguchi M, Kawakubo A, Ide R, Hara K, Sumikawa K. Epidural abscess associated with epidural block in a patient with immunosuppressive disease. Masui 1999;48: 506-8.
16. Sabel M, Felsberg J, Neuen-Jacob E, et al. Enlargement of a chronic aseptic lumbar epidural abscess by intraspinal injections - A rare cause of progressive paraparesis. Zentralbl Neurochir 2000;61: 111-4.
17. Kaul S, Meena AK, Sundaram C, et al. Spinal extradural abscess following local steroid injection. Neurol India 2000;48: 181-2.
18. Koka VK, Potti A. Spinal epidural abscess after corticosteroid injections. South Med J 2002;95: 772-4.
19. Hooten WM, Kinney MO, Huntoon MA. Epidural abscess and meningitis after epidural corticosteroid injection. Mayo Clin Proc 2004;79: 682-6.
20. Saigal G, Post MJ, Kozic D. Thoracic intradural aspergillus abscess formation following epidural steroid injection. Am J Neuroradiol 2004; 25: 642-4.
21. Cook NJ, Hanrahan P, Song S. Paraspinal abscess following facet joint injection. Clin Rheumatol 1999;18: 52-3.
22. Magee M, Kannangara S, Dennien B, et al. Paraspinal abscess complicating facet joint injection. Clin Nucl Med 2000;25: 71-3.
23. Alcock E, Regaard A, Browne J. Facet joint injection: A rare form cause of epidural abscess formation. Pain 2003;103: 209-10.
24. Orpen NM, Birch NC. Delayed presentation of septic arthritis of a lumbar facet joint after diagnostic facet joint injection. J Spinal Disord Tech 2003;16: 285-7.
25. Kabbara A, Rosenberg SK, Untal C. Methicillin-resistant staphylococcus aureus epidural abscess after transforaminal epidural steroid injection. Pain Phys 2004;7: 269-71.
26. Wiggins M, Ellias M, Abouleish E. Recurrence of herpes genitalis following selective nerve-root blockade and radiofrequency ablation. Pain Digest 1999;9: 364-5.
27. Svendsen RN. Septic arthritis following local anaesthesia. Ugeskr Laeger 1993;155: 2414-5.
28. Mann S, Schutze M, Sola S, Piek J. Nonspecific pyogenic spondylodiscitis: Clinical manifestations, surgical treatment, and outcome in 24 patients. Neurosurg Focus 2004;17: E3.
29. Schinkel C, Gottwald M, Andress H. Surgical treatment of spondylodiscitis. Surg Infect (Larchmt) 2003;4: 387-91.
30. Jacobs S, Pullan PT, Potter JM, Shenfield GM. Adrenal suppression following extradural steroids. Anaesthesia 1983;38: 953-6.
31. Sato S, Sakuragi T, Dan K. Human skin flora as a potential source of epidural abscess. Anesthesiology 1996;85: 1276-82.
32. Yucesoy K, Ozer E, Gulay Z, Gore O, Mertol T. Histopathologic effects of discitis on neural tissues an experimental study. J Spinal Disord Tech 2004;17: 112-4.