Challenging Cases and Complication Management in Pain Medicine by Magdalena Anitescu Honorio T. Benzon & Mark S. Wallace

Author:Magdalena Anitescu, Honorio T. Benzon & Mark S. Wallace
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Transdiscal procedures carry the risk for intervertebral disc infection, rupture, or herniation. Infected tissue can be directly inoculated by the procedural needle during the disc penetration. Discitis should be suspected when severe, intractable back pain follows a transdiscal procedure.

Clinical manifestations of discitis are non-specific. As soon as the intervertebral disc infection is suspected, diagnostic microbiologic and imaging studies should be obtained. Antibiotic therapy should be guided by the drug sensitivity results; however, if general or neurologic deterioration occurs, emergency intravenous antibiotic and surgery should be considered.

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