Spondylodiscitis After Endovascular Aortic Repair Due to Noninvasive Listeriosis: A Case Report. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Mercurio, Michele; Sanzo, Valentina; Rava, Alessandro; Galasso, Olimpio; Gasparini, Giorgio
• Is Part Of: JBJS case connector. Volume 11:Issue 3(2021)
• Publication Date: 2021-07
• Subjects: spondylodiscitis -- endovascular aortic repair -- Listeria monocytogenes -- lower back pain -- listeriosis -- 18F-FDG PET/CT -- antibiotic therapy -- vertebral collapse -- ultrasound-guided fine-needle aspiration -- psoas abscess; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00212
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: An 83-year-old man suffered progressive lower back pain 4 weeks after an endovascular aortic repair (EVAR) procedure. Computed tomography showed L4 vertebral body collapse and abnormal soft tissue-like density swelling with increased uptake on 18 F-fluoro-D-glucose (FDG) positron emission tomography (PET)/CT. Listeria monocytogenes was identified from ultrasound-guided fine-needle aspiration. Ultrasound-guided drainage of the retroperitoneal abscess and intravenous antibiotic therapy with ampicillin and gentamicin resulted in the rapid relief of symptoms. Conclusion: Spondylodiscitis after EVAR requires a timely diagnosis. Uncommon organisms such as L. monocytogenes must be suspected, even in focal infections without signs of listeriosis. Conservative treatment with preservation of the graft should be considered as long as close follow-up evaluations are performed.