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Septic arthritis of a lumbar facet joint due to pyonex

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Abstract

We present a case of septic arthritis of a lumbar facet joint with an associated epidural abscess. A 13-year-old boy was hospitalized with acute severe back pain and fever after pyonex was done. The infection was precisely localized with magnetic resonance imaging, bone and gallium scintigraphy. He responded to antibiotic therapy. We suppose that the infection was caused by pyonex because the blood cultures were negative, and the patient had an abrupt onset of severe pain and fever 24 h after the acupuncture.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nippon Telegraph and Telephone East Corporation Sapporo Hospital, South 1 West 15, Sapporo 060-0061, Japan e-mail: ishibe@ghs.hospital.hokkaido.east.ntt.co.jp, Tel.: +81-11-2125204, Fax: +81-11-6154963, , , , , , JP

    M. Ishibe & Masayuki Inoue

  2. Rehabilitation Center, Nippon Telegraph and Telephone East Corporation Sapporo Hospital, South 1 West 15, Sapporo 060-0061, Japan, , , , , , JP

    Katsutoshi Saitou

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  1. M. Ishibe
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  2. Masayuki Inoue
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  3. Katsutoshi Saitou
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Received: 8 July 1999

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Ishibe, M., Inoue, M. & Saitou, K. Septic arthritis of a lumbar facet joint due to pyonex. Arch Orth Traum Surg 121, 90–92 (2001). https://doi.org/10.1007/s004020000150

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  • DOI: https://doi.org/10.1007/s004020000150

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