Keywords:
Musculoskeletal spine, Interventional non-vascular, Biopsy, Infection
Authors:
A. R. M. Souza, M. B. Rodrigues, D. T. Amaral, M. F. Correa, C. F. A. Cavalcanti, C. O. Kurimori, R. Y. Fernandes, P. V. P. Helito, L. C. Zattar-Ramos, R. Leao; Sao Paulo/BR
DOI:
10.1594/essr2016/P-0121
Results
30 CT-guided percutaneous spinal biopsies were performed for suspected spinal infection over the 3-year period ended December 2015.
In this retrospective series, 11 (36,7%) from 30 cases were microbiologically confirmed at spinal biopsy with identification and culture of a specific bacterium. No fungal or other infective agents were detected in this series. The distribution of the various bacterium identified in these 11 cases are shown in Table 1.
The most frequently identified organism was Staphylococcus aureus (37%).
Mycobacterium tuberculosis wasn`t detected in none case,
despite its prevalence in Brazil.
All positive cultures resulted from biopsies of thoracic (2 from 5) and lumbar (9 from 25) spine.
8 of the 30 patients were receiving intravenous antibiotics at the moment of the biopsy procedure,
and 4 of these were negative culture.
We didn´t have informations about recent oral or intravenous antibiotics before the procedure.
No clinical complications were reported.