Vertebral osteomyelitis following vertebroplasty: is acne a potential contraindication and are prophylactic antibiotics mandatory prior to vertebroplasty?
2009; National Institutes of Health; Volume: 12; Issue: 4 Linguagem: Inglês
Autores
Mubin I. Syed, Bindu Avutu, Azim Shaikh, H. A. Sparks, Mutahher Ibarze Mohammed, Kamal Morar,
Tópico(s)Orthopedic Infections and Treatments
ResumoWe 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.
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