Pain medicine case reports · 2025
Spinal Epidural Abscess After Radiofrequency Denervation of the Lumbar Facets: Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Fu Emma, Chen Yian
Аннотация
BACKGROUND: Spinal epidural abscesses (SEAs) are rare with an estimated annual incidence of 0.2-2.8/10,000. Risk factors include immunosuppression, intravenous drug use, diabetes mellitus, HIV, trauma, tattooing, and bacteremia. Presenting symptoms are typically nonspecific with malaise, fever, back pain, and possible neurological deficits.
CASE REPORT: We present a case of SEA following radiofrequency ablation (RFA) in a patient with no known risk factors, in a 59-year-old man with axial lower back pain. The patient underwent an L4/L5 laminectomy and was started on antibiotics. His blood cultures grew Actinomyces and he was discharged with an extended course of antibiotics.
CONCLUSIONS: While there have been reported SEAs after certain chronic pain procedures, they have not been reported after RFA to our knowledge. This is a novel presentation of an epidural abscess occurring solely after RFA, which should alert clinicians to the possibility of this complication.
CASE REPORT: We present a case of SEA following radiofrequency ablation (RFA) in a patient with no known risk factors, in a 59-year-old man with axial lower back pain. The patient underwent an L4/L5 laminectomy and was started on antibiotics. His blood cultures grew Actinomyces and he was discharged with an extended course of antibiotics.
CONCLUSIONS: While there have been reported SEAs after certain chronic pain procedures, they have not been reported after RFA to our knowledge. This is a novel presentation of an epidural abscess occurring solely after RFA, which should alert clinicians to the possibility of this complication.