Spinal Tuberculosis Mimicking Failed Back Surgery

Objective: Challenging differential diagnosis Background: The aim of this study was to draw attention to rare spinal infections in recurrent failed spinal surgeries. Case Report: A 59-year-old female was admitted to the hospital for back pain, which was assessed as a 9 on the visual analogue scale (VAS); the patient reported tiredness and night sweats. She had an operation for L3-4 far lateral disc herniation four years ago. Then another operation for L4-5 disc herniation six months ago and immediately three months later she has an operation with L3-4-5 fixation again. She had hypothyroidism, diabetes mellitus, and hypertension. Her daughter was cured of pulmonary tuberculosis 20 years ago. We performed an operation by L4-5 discectomy; all granulation formation with inflammatory processes were debrided and irrigated with antibiotics at levels of L3-5. The old fixation was controlled and replaced. Her back pain improved immediately after surgery; she had a score of 2 on the VAS. Two days after her surgery, our Infection Disease Department reported acid resistant bacillus (ARB+) in samples and began anti-tuberculosis medication. Conclusions: Spinal infections should always be taken into consideration in recurrent failed back surgeries.

Yazar Ozdogan, Selcuk
Yaltirik, Cumhur Kaan
Duzkalir, Ali Haluk
Demirel, Nail
Kaya, Mustafa
Atalay, Basar
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3362
Tek Biçim Adres 10.12659/AJCR.907409
Konu Başlıkları Disease Management
Failed Back Surgery Syndrome
Tuberculosis
Central Nervous System
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı AMERICAN JOURNAL OF CASE REPORTS
Dergi Cilt Bilgisi 19
Sayfalar 249 - 253
Yayın Yılı 2018
Eser Adı
[dc.title]
Spinal Tuberculosis Mimicking Failed Back Surgery
Yazar
[dc.contributor.author]
Ozdogan, Selcuk
Yazar
[dc.contributor.author]
Yaltirik, Cumhur Kaan
Yazar
[dc.contributor.author]
Duzkalir, Ali Haluk
Yazar
[dc.contributor.author]
Demirel, Nail
Yazar
[dc.contributor.author]
Kaya, Mustafa
Yazar
[dc.contributor.author]
Atalay, Basar
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
INT SCIENTIFIC INFORMATION, INC
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: Challenging differential diagnosis Background: The aim of this study was to draw attention to rare spinal infections in recurrent failed spinal surgeries. Case Report: A 59-year-old female was admitted to the hospital for back pain, which was assessed as a 9 on the visual analogue scale (VAS); the patient reported tiredness and night sweats. She had an operation for L3-4 far lateral disc herniation four years ago. Then another operation for L4-5 disc herniation six months ago and immediately three months later she has an operation with L3-4-5 fixation again. She had hypothyroidism, diabetes mellitus, and hypertension. Her daughter was cured of pulmonary tuberculosis 20 years ago. We performed an operation by L4-5 discectomy; all granulation formation with inflammatory processes were debrided and irrigated with antibiotics at levels of L3-5. The old fixation was controlled and replaced. Her back pain improved immediately after surgery; she had a score of 2 on the VAS. Two days after her surgery, our Infection Disease Department reported acid resistant bacillus (ARB+) in samples and began anti-tuberculosis medication. Conclusions: Spinal infections should always be taken into consideration in recurrent failed back surgeries.
Açıklama
[dc.description]
WOS: 000427508900001
Açıklama
[dc.description]
PubMed: 29507280
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Disease Management
Konu Başlıkları
[dc.subject]
Failed Back Surgery Syndrome
Konu Başlıkları
[dc.subject]
Tuberculosis
Konu Başlıkları
[dc.subject]
Central Nervous System
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1941-5923
İlk Sayfa Sayısı
[dc.identifier.startpage]
249
Son Sayfa Sayısı
[dc.identifier.endpage]
253
Dergi Adı
[dc.relation.journal]
AMERICAN JOURNAL OF CASE REPORTS
Dergi Cilt Bilgisi
[dc.identifier.volume]
19
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.12659/AJCR.907409
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3362
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
12
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
07 Şubat 2024 19:59
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Tıklayınız
operation reported surgery herniation months immediately surgeries fixation spinal recurrent failed infections processes formation inflammatory granulation controlled debrided irrigated discectomy antibiotics levels Objective replaced (ARB+) consideration always should Spinal Conclusions medication anti-tuberculosis samples bacillus improved
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