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Psoas Abscess After Lumbar Facet Joint Injection: Case Report and Literature Review
- Source :
- Cureus
- Publication Year :
- 2020
- Publisher :
- Cureus, 2020.
-
Abstract
- Low back pain (LBP) is a common condition. It is estimated that 84% of adults will present LBP symptoms at some point in their lives. Rarely, however, is LPB an indication of a serious medical condition, requiring further investigation. The treatment of non-specific LBP is based on non-pharmacological strategies, e.g., non-steroidal anti-inflammatory drugs (NSAID) or skeletal muscle relaxants. The use of epidural steroid injection (ESI) or facet joint injections relieves pain originating from degenerative spine disorders or a disk herniation, thereby providing rapid pain improvement, despite considerable long-term outcomes. Although rare, ESI complications can occur, and infections are infrequently described. This paper describes a rare case of an abscess in the psoas muscle, secondary to facet joint lumbar block. We report a male aged between 30 and 40 years old with LBP, who was submitted to a facet joint and ESI. The procedure evolved into a spinal infection of the psoas muscle. In addition, we present a brief literature review on psoas infections after spinal injection. Infection post facet joint lumbar block is very rare, with few publications in the literature. Early detection and the aggressive broad-spectrum antibiotic course must be initiated until adequate cultures are obtained and antibiotics prolong to at least four weeks.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
epidural steroid injection
medicine.medical_treatment
Neurosurgery
Early detection
030204 cardiovascular system & hematology
Facet joint
03 medical and health sciences
0302 clinical medicine
Lumbar
Lumbar facet joint
Rare case
Medicine
Abscess
low back pain
business.industry
Epidural steroid injection
General Engineering
medicine.disease
Low back pain
infection
Surgery
medicine.anatomical_structure
Orthopedics
Neurology
medicine.symptom
business
030217 neurology & neurosurgery
psoas muscle
Subjects
Details
- Language :
- English
- ISSN :
- 21688184
- Volume :
- 12
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....9161bde6533390ed4b7c741e2673c328