Septic arthritis of the cervical facet joint: Clinical report and review of the literature.

Autor: Quoilin M; McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas, USA.; TIRR Memorial Hermann, Houston, Texas, USA., Vu PD; McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas, USA.; TIRR Memorial Hermann, Houston, Texas, USA., Bansal V; McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas, USA.; TIRR Memorial Hermann, Houston, Texas, USA., Chen JW; McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas, USA.; TIRR Memorial Hermann, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: Pain practice : the official journal of World Institute of Pain [Pain Pract] 2024 Nov; Vol. 24 (8), pp. 1074-1078. Date of Electronic Publication: 2024 May 21.
DOI: 10.1111/papr.13380
Abstrakt: Background: Facet joint septic arthritis (FJSA) is an uncommon cause of neck pain, most frequently occurring in the lumbosacral spine. Cervical facet joint septic arthritis is particularly rare. Symptoms typically include spinal or paraspinal pain and tenderness, with severe infections potentially causing neurological impairments. This condition can progress to discitis and osteomyelitis. High clinical suspicion is required for accurate diagnosis and timely treatment.
Objective: To present the first known case of cervical spine FJSA caused by Moraxella species and provide an updated narrative review of cervical spine FJSA.
Methods: A case study of a 66-year-old male with cervical spine FJSA caused by Moraxella osloensis is detailed. Additionally, a librarian-assisted literature search was conducted on MEDLINE Pubmed, filtering for adult human trials and including various study types, resulting in the inclusion of 9 relevant manuscripts.
Results: The patient's symptoms included neck, right upper thoracic, and periscapular pain, with episodes of numbness and tingling. MRI revealed septic arthritis at the C7-T1 facet joint and associated osteomyelitis. Cultures identified Moraxella osloensis as the causative agent. The patient was successfully treated with antibiotics and experienced significant symptom improvement. Literature review highlights that Staphylococcus aureus is the most common causative agent of cervical FJSA, with diagnosis typically involving MRI and culture tests. Treatment generally includes long-term antibiotics, with some cases requiring surgical intervention.
Conclusions: This report underscores the need for high clinical suspicion in diagnosing FJSA and highlights the importance of early intervention. It documents the first known case of cervical spine FJSA caused by Moraxella osloensis, contributing valuable information to the limited literature on this rare condition.
(© 2024 World Institute of Pain.)
Databáze: MEDLINE
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