Korean J Spine.  2017 Mar;14(1):14-16. 10.14245/kjs.2017.14.1.14.

Delayed Spondylodiscitis Presenting as a Skip Lesion

• Kim DM
• Kim SW

• KMID: 2377783
• DOI: http://doi.org/10.14245/kjs.2017.14.1.14

Abstract

Spondylodiscitis is believed to be caused by an infection that affects vertebral bodies and the intervening intervertebral disc. Usually, typical spondylodiscitis involves a mobile vertebra-disc-vertebra unit, and in most cases, the condition is managed successfully by surgical intervention and intravenous antibiotic therapy. Here, the authors report an unusual case of a spondylodiscitis presenting as a skip lesion, which progressed from L4/L5 to L1/L2, despite open surgical biopsy and empirical intravenous antibiotics. Possible pathogenic mechanisms of this unique case are discussed and a review of the pertinent literature is included.

Keyword

Spondylodiscitis; Skip; Antibiotics

MeSH Terms

Anti-Bacterial Agents
Biopsy
Discitis*
Intervertebral Disc
Anti-Bacterial Agents