Surgically Managed Malakoplakia of the Spine: A Case Report
| Autor: | John M. Gross, Wesley M. Durand, Amy L. Xu, Jacob M. Babu, Brian J. Neuman, Olivia Petrusky, Kevin Y. Wang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sacrum business.industry medicine.medical_treatment Malacoplakia Laminectomy Malakoplakia medicine.disease Debulking Polymyositis Asymptomatic Surgery Lumbar medicine Humans Orthopedics and Sports Medicine Female Differential diagnosis Corpectomy medicine.symptom business Aged |
| Zdroj: | JBJS case connector. 11(3) |
| ISSN: | 2160-3251 |
| Popis: | CASE A 66-year-old woman with polymyositis and recurrent urinary tract infections presented with lumbar pain and progressive lower extremity neuropathy. Imaging showed lytic destruction of the vertebral bone from L2 to L4 with extension into adjacent musculature. Histological examination demonstrated Michaelis-Gutmann bodies consistent with malakoplakia. The patient underwent revision T12-sacrum posterior fusion, L2-5 laminectomy, and anterior L3-4 corpectomy, followed by L2-4 anterior stabilization and a 6-week course of ceftriaxone. At 3 months postoperatively, she was asymptomatic without recurrence. CONCLUSION Malakoplakia of bone should be considered in the differential diagnosis of lytic bone lesions and can be effectively treated with surgical debulking with penetrative antibiotics. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|