Delayed Spondylodiscitis Presenting as a Skip Lesion.
10.14245/kjs.2017.14.1.14
- Author:
Dong Min KIM
1
;
Seok Won KIM
Author Information
1. Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Spondylodiscitis;
Skip;
Antibiotics
- MeSH:
Anti-Bacterial Agents;
Biopsy;
Discitis*;
Intervertebral Disc
- From:Korean Journal of Spine
2017;14(1):14-16
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spondylodiscitis is believed to be caused by an infection that affects vertebral bodies and the intervening intervertebral disc. Usually, typical spondylodiscitis involves a mobile vertebra-disc-vertebra unit, and in most cases, the condition is managed successfully by surgical intervention and intravenous antibiotic therapy. Here, the authors report an unusual case of a spondylodiscitis presenting as a skip lesion, which progressed from L4/L5 to L1/L2, despite open surgical biopsy and empirical intravenous antibiotics. Possible pathogenic mechanisms of this unique case are discussed and a review of the pertinent literature is included.
