Requena UMD, Bazán PL

Language: Spanish
References: 14
Page: 184-187
PDF size: 263.79 Kb.

ABSTRACT

Introduction: localized infection in the facet joint of the spine is rare, mainly cervical septic arthritis. It is related to advanced age, diabetes, immunosuppression, rheumatoid arthritis, intravenous drug addiction and local punctures. Cervicalgia, associated with fever, are the clinical manifestations that confirm the diagnosis with MRI and culture; the usual treatment is antibiotic therapy. Objective: the aim of this article is to present a case of a 51-year-old male patient with newly diagnosed diabetes and a history of a gluteal abscess secondary to an intramuscular injection, with septic foci in the left C4-C5 joint, heart valve and elbow bursitis, caused by Staphylococcus aureus. Results: CT and MRI showed severe bone destruction of the facet joints and abscess of soft tissues at the cervical level. Surgical treatment for cleansing and stabilization was associated. The anatomopathological study confirmed the inflammatory-infectious process, ruling out tumor pathology. Conclusions: cervical septic arthritis is a rare pathology of insidious onset and development which can delay the diagnosis, it may be associated with comorbidities that condition immunosuppression in the patient, although most cases present a good evolution with antibiotic therapy, comorbidities and possible complications must be taken into account to also opt for surgical treatment.

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