Diskitis, Osteomyelitis, Spinal Epidural Abscess, Meningitis, and Endocarditis Following Sacroiliac Joint Injection for the Treatment of Low-Back Pain in a Patient on Therapy for Hepatitis C Virus.

Abstract:

OBJECTIVE:Sacroiliac joint injections are frequently performed procedures in the management of acute and chronic low-back pain, including patients with various immunocompromised states. Infectious complications following these procedures along with other spinal injections are rarely reported, but the true incidence is unknown. The purpose of this report is to highlight the devastating neurologic sequela that can occur, and to discuss potential future management strategies. CASE REPORT:We present a patient who developed diskitis, osteomyelitis, spinal epidural abscess, meningitis, and endocarditis from Staphylococcus aureus, all of which developed shortly after a sacroiliac joint injection. The patient was on treatment for hepatitis C virus, and the resulting immunocompromised state likely contributed to the outcome. CONCLUSIONS:Immunocompromised patients should be identified prior to treatment, and the small possibility of devastating complications should be thoughtfully weighed against the potential benefit of the procedure. Conservative management should be maximized initially, and if a procedure is done, strict asepsis must be maintained. Prophylaxis for S. aureus should be considered for immunocompromised patients undergoing interventional spine procedures.

journal_name

Reg Anesth Pain Med

authors

Nagpal G,Flaherty JP,Benzon HT

doi

10.1097/AAP.0000000000000608

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

517-520

issue

4

eissn

1098-7339

issn

1532-8651

journal_volume

42

pub_type

杂志文章
  • Serum ropivacaine levels after local infiltration analgesia during total knee arthroplasty with and without adductor canal block.

    abstract:BACKGROUND AND OBJECTIVES:A common analgesic technique for total knee arthroplasty (TKA) is to inject local anesthetic into the periarticular tissue during surgery, known as local infiltration analgesia (LIA). Since the solution used typically contains a large amount of local anesthetic, concerns arise about exceeding ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2018-100043

    authors: Koniuch KL,Buys MJ,Campbell B,Gililland JM,Pelt CE,Pace NL,Johnson KB

    更新日期:2019-01-11 00:00:00

  • Minimal blocking concentrations of bupivacaine and procaine in an exclusively nociceptive system in humans.

    abstract:BACKGROUND AND OBJECTIVES:Prior to this investigation, there was no approach to compare both the potency of local anesthetics and their time course of action in a reproducible nociceptive system in humans. We tested whether the vascularly isolated vein segment is appropriate for such an approach. METHODS:In six health...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(99)90105-0

    authors: Holthusen H,Lipfert P,Klement W

    更新日期:1999-07-01 00:00:00

  • Posterior lumbar plexus block in children: a new anatomical landmark.

    abstract:BACKGROUND AND OBJECTIVES:Posterior lumbar plexus block is a well established anesthetic technique for lower limb surgeries. Both magnetic resonance imaging and clinical prospective studies were performed to verify if a new palpable landmark could be used for lumbar plexus block in pediatric patients. METHODS:Twenty-f...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2007.06.395

    authors: Mello SS,Saraiva RA,Marques RS,Gasparini JR,Assis CN,Gonçalves MH

    更新日期:2007-11-01 00:00:00

  • Daring discourse - no: cannabinoids should not be used for acute postoperative pain management.

    abstract::As anesthesiologists and acute pain medicine specialists, we will care for patients in the perioperative period who use cannabinoids for chronic pain and/or marijuana recreationally. We will have to address difficult questions from patients regarding the potential applications for cannabinoids in acute pain management...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2020-101475

    authors: Meeker JD,Ayrian E,Mariano ER

    更新日期:2020-07-01 00:00:00

  • Is pulmonary function affected by bilateral dual transversus abdominis plane block? A randomized, placebo-controlled, double-blind, crossover pilot study in healthy male volunteers.

    abstract:BACKGROUND AND OBJECTIVES:Transversus abdominis plane (TAP) blocks have been shown to reduce postoperative pain after various abdominal surgical procedures in several studies. The motor nerves of the abdominal wall are located in the same plane as the sensory nerves affected by the TAP block. The aim of this study was ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0b013e3182330b95

    authors: Petersen M,Elers J,Børglum J,Belhage B,Mortensen J,Maschmann C

    更新日期:2011-11-01 00:00:00

  • Future considerations for pharmacologic adjuvants in single-injection peripheral nerve blocks for patients with diabetes mellitus.

    abstract::As the epidemics of obesity and diabetes expand, there are more patients with these disorders requiring elective surgery. For surgery on the extremities, peripheral nerve blocks have become a highly favorable anesthetic option when compared with general anesthesia. Peripheral blocks reduce respiratory and cardiac stre...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0b013e3181ac9e42

    authors: Williams BA,Murinson BB,Grable BR,Orebaugh SL

    更新日期:2009-09-01 00:00:00

  • Epidural catheter placement in neonates: sonoanatomy and feasibility of ultrasonographic guidance in term and preterm neonates.

    abstract:BACKGROUND:We report the first prospective sonoanatomic study in neonates with the aim to perform ultrasonographic-guided epidural catheter placement in this age group. METHOD:One hundred forty-five neonates with a body weight < or =4 kg (0.53-4 kg) were included in this prospective study. The study was divided into 3...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2006.10.008

    authors: Willschke H,Bosenberg A,Marhofer P,Willschke J,Schwindt J,Weintraud M,Kapral S,Kettner S

    更新日期:2007-01-01 00:00:00

  • Dexamethasone and dexmedetomidine as adjuvants to local anesthetic mixture in intercostal nerve block for thoracoscopic pneumonectomy: a prospective randomized study.

    abstract:BACKGROUND AND OBJECTIVES:Perineural dexamethasone or dexmedetomidine prolongs the duration of single-injection peripheral nerve block when added to the local anesthetic solution. In a randomized, controlled, double-blinded study in patients undergoing thoracoscopic pneumonectomy, we tested the hypothesis that combined...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2018-100221

    authors: Zhang P,Liu S,Zhu J,Rao Z,Liu C

    更新日期:2019-08-08 00:00:00

  • Infraclavicular plexus block: multiple injection versus single injection.

    abstract:BACKGROUND AND OBJECTIVES:This prospective, randomized, and multicentered study was undertaken to evaluate the success rate of coracoid infraclavicular nerve block performed with a nerve stimulator when either 1 or 3 motor responses were sought. METHODS:Eighty patients who presented for elbow, forearm, or wrist surger...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1053/rapm.2002.36456

    authors: Gaertner E,Estebe JP,Zamfir A,Cuby C,Macaire P

    更新日期:2002-11-01 00:00:00

  • A Cadaveric Study of Ultrasound-Guided Maxillary Nerve Block Via the Pterygopalatine Fossa: A Novel Technique Using the Lateral Pterygoid Plate Approach.

    abstract:BACKGROUND AND OBJECTIVES:This study aimed to describe and assess the accuracy and feasibility of a novel technique for ultrasound-guided maxillary nerve block using the lateral pterygoid plate (LPP) approach via the pterygopalatine fossa (PPF) in a soft cadaveric model. METHODS:Ten soft cadavers were studied. The cur...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/AAP.0000000000000790

    authors: Kampitak W,Tansatit T,Shibata Y

    更新日期:2018-08-01 00:00:00

  • Subarachnoid anesthesia in young patients: a comparative analysis of two needle bevels.

    abstract:BACKGROUND AND OBJECTIVES:This prospective, randomized, double-blind study compares the efficacy of two spinal needles in terms of their performance characteristics and associated perioperative complaints in young patients. METHODS:ASA I and II patients aged from 20 to 40 years undergoing lower limb orthopedic surgery...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(99)90047-0

    authors: De Andrés J,Valia JC,Errando C,Rico G,Lopez-Alarcon MD

    更新日期:1999-11-01 00:00:00

  • Anatomical analysis of medial branches of dorsal rami of cervical nerves for radiofrequency thermocoagulation.

    abstract:BACKGROUND AND OBJECTIVES:Cervical medial branch blocks are used to treat patients with chronic neck pain. The aim of this study was to clarify the anatomical aspects of the cervical medial branches to improve the accuracy and safety of radiofrequency denervation. METHODS:Twenty cervical specimens were harvested from ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000175

    authors: Kweon TD,Kim JY,Lee HY,Kim MH,Lee YW

    更新日期:2014-11-01 00:00:00

  • An animal model of "syringe feel" during peripheral nerve block.

    abstract:BACKGROUND:The perception of high resistance during injection of a local anesthetic during regional anesthesia may indicate intraneural injection. Anesthetists' ability to detect high resistance by "syringe feel" has been questioned in the past. The aim of our study was to investigate the anesthetist's ability to detec...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/aap.0b013e3181ac7f38

    authors: Theron PS,Mackay Z,Gonzalez JG,Donaldson N,Blanco R

    更新日期:2009-07-01 00:00:00

  • Ultrasound Identification of Diaphragm by Novices Using ABCDE Technique.

    abstract:BACKGROUND AND OBJECTIVES:In this study, we examined the consistency, rapidity, and reproducibility of the ABCDE technique for diaphragm identification. Operators using this method place the probe at the Anterior axillary line, watch for Breathing (lung sliding), and then move the probe Caudally to identify the Diaphra...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000718

    authors: Khurana J,Gartner SC,Naik L,Tsui BCH

    更新日期:2018-02-01 00:00:00

  • Ultrasound-Guided Infraclavicular Brachial Plexus Block: Prospective Randomized Comparison of the Lateral Sagittal and Costoclavicular Approach.

    abstract:BACKGROUND AND OBJECTIVES:It has recently been proposed that an infraclavicular brachial plexus block (BPB) at the costoclavicular (CC) space may overcome some of the limitations of the lateral sagittal (LS) approach. In this study, we hypothesized that the CC approach will produce faster onset of sensory blockade of t...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000822

    authors: Songthamwat B,Karmakar MK,Li JW,Samy W,Mok LYH

    更新日期:2018-11-01 00:00:00

  • Esmolol, Antinociception, and Its Potential Opioid-Sparing Role in Routine Anesthesia Care.

    abstract::β-Adrenergic blockade is an important mechanism for reducing morbidity and mortality in patients with hypertension and heart failure. Esmolol has been used widely for its chronotropic and antihypertensive effects. However, there has been recent inquiry regarding perioperative esmolol use and nociceptive modulation. Co...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000873

    authors: Bahr MP,Williams BA

    更新日期:2018-11-01 00:00:00

  • Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review.

    abstract:INTRODUCTION:Pericapsular nerve group (PENG) block is a novel regional analgesia technique to reduce pain after hip surgery and hip fractures. This review was conducted to summarize current literature. METHODS:A scoping review was carried out using the Joanna Briggs Institute framework. All articles describing the use...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1136/rapm-2020-101826

    authors: Morrison C,Brown B,Lin DY,Jaarsma R,Kroon H

    更新日期:2021-02-01 00:00:00

  • Factors associated with academic rank among chronic pain medicine faculty in the USA.

    abstract:BACKGROUND:Numerous factors are considered in the academic promotion of pain medicine physicians. In this study, we investigated the importance of research productivity, career duration, leadership, and gender on attaining professorship in chronic pain medicine fellowship programs in the USA. METHODS:We identified 98 ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1136/rapm-2019-101139

    authors: Orhurhu MS,Orhurhu V,Salisu B,Abimbola A,Cohen SP

    更新日期:2020-08-01 00:00:00

  • Cholestasis as a side effect of bupivacaine?

    abstract:BACKGROUND AND OBJECTIVES:Cholestasis has been proposed as a side effect of interpleural bupivacaine. Therefore, the effects of various application techniques on liver enzymes were studied following ethics committee approval and informed patient consent. METHODS:Patients following scheduled thoracotomy and laparoscopi...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s1098-7339(98)90055-4

    authors: Wulf H,Leger R,Raetzell M,Olmer A,Scheiderer U

    更新日期:1998-05-01 00:00:00

  • Why Aren't There More Female Pain Medicine Physicians?

    abstract::Despite a growing awareness about the importance of gender equity and the rising number of women in medicine, women remain persistently underrepresented in pain medicine and anesthesiology. Pain medicine ranks among the bottom quartile of medical specialties in terms of female applicants, female trainees, and proporti...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,评审

    doi:10.1097/AAP.0000000000000774

    authors: Doshi TL,Bicket MC

    更新日期:2018-07-01 00:00:00

  • Effect of acute versus continuous glycemic control on duration of local anesthetic sciatic nerve block in diabetic rats.

    abstract:BACKGROUND AND OBJECTIVES:The duration of nerve block is longer in streptozotocin (STZ)-induced diabetic rats for all local anesthetics (with and without adjuvants) compared with normal rats. Perioperative glycemic control is currently practiced to reduce adverse events in many at-risk patients, especially in diabetic ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e31826742fd

    authors: Kroin JS,Buvanendran A,Tuman KJ,Kerns JM

    更新日期:2012-11-01 00:00:00

  • Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases.

    abstract:BACKGROUND AND OBJECTIVES:We describe a new therapeutic modality for sacroiliac joint syndrome that represents an alternative to other treatment modalities. We report on four cases of sacroiliac joint syndrome with severe pain. METHODS:Three patients had undergone operative treatment of the lumbar spine and one patien...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/s1098-7339(99)90170-0

    authors: Srejic U,Calvillo O,Kabakibou K

    更新日期:1999-01-01 00:00:00

  • Adverse Drug Effects and Preoperative Medication Factors Related to Perioperative Low-Dose Ketamine Infusions.

    abstract::High-dose opioid administration is associated with significant adverse events. Evidence suggests that low-dose ketamine infusions improve perioperative analgesia over conventional opioid management, but usage is highly variable. Ketamine's adverse drug effects (ADEs) are well known, but their prevalence during low-dos...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000416

    authors: Schwenk ES,Goldberg SF,Patel RD,Zhou J,Adams DR,Baratta JL,Viscusi ER,Epstein RH

    更新日期:2016-07-01 00:00:00

  • Ultrasound-guided posterior approach for the placement of a continuous interscalene catheter.

    abstract:BACKGROUND AND OBJECTIVES:The posterior approach to performing a continuous brachial plexus block at the level of the nerve roots has been described using traditional superficial landmarks. We describe an ultrasound-guided approach for the placement of a continuous interscalene brachial plexus catheter at the level of ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/AAP.0b013e3181933a53

    authors: Antonakakis JG,Sites BD,Shiffrin J

    更新日期:2009-01-01 00:00:00

  • Pain Management With Bilateral Continuous Thoracic Paravertebral Block in a Patient With Fontan-Associated Hepatocellular Carcinoma Undergoing Hepatectomy.

    abstract:OBJECTIVE:We report a case of perioperative management of a single-ventricle patient with Fontan-associated liver disease undergoing hepatectomy. CASE REPORT:A 12-year-old boy with Fontan circulation was scheduled for partial hepatectomy to remove a liver mass in segment 6. He received stent implantation to relieve co...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0000000000000316

    authors: Maeda A,Shibata SC,Okitsu K,Imada T,Takahashi A,Uchiyama A,Kamibayashi T,Fujino Y

    更新日期:2015-11-01 00:00:00

  • A paramedian approach for epidural block: an anatomic and radiologic description.

    abstract:BACKGROUND AND OBJECTIVES:Certain factors, such as intervertebral disc herniation, previous spinal surgery, and osteoarthritis may cause problems during the midline epidural procedure. The purpose of this study was to investigate the placement of the needle tip in an alternative paramedian approach in a cadaver, and ra...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1053/rapm.2003.50129

    authors: Boon JM,Prinsloo E,Raath RP

    更新日期:2003-05-01 00:00:00

  • Characterizing novice behavior associated with learning ultrasound-guided peripheral regional anesthesia.

    abstract:BACKGROUND AND OBJECTIVES:Ultrasound-guided regional anesthesia is a rapidly growing field. There exists little information regarding the competencies involved with such a practice. The objective of this exploratory study was to characterize the behavior of novices as they undertook the challenges of learning a new tec...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2006.11.006

    authors: Sites BD,Spence BC,Gallagher JD,Wiley CW,Bertrand ML,Blike GT

    更新日期:2007-03-01 00:00:00

  • Reporting functional outcome after knee arthroplasty and regional anesthesia: a methodological primer.

    abstract::The introduction of ultrasound guidance for regional anesthesia has resulted in an explosion of interest in its use for postoperative analgesia, particularly for orthopedic surgery. Regional anesthesia demonstrates unequivocal superiority compared with systemic opioids with respect to analgesia, reduced opioid consump...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1097/AAP.0b013e318295d973

    authors: Choi S,Trang A,McCartney CJ

    更新日期:2013-07-01 00:00:00

  • In vitro antagonism of recombinant ligand-gated ion-channel receptors by stereospecific enantiomers of bupivacaine.

    abstract:BACKGROUND AND OBJECTIVES:Bupivacaine is a racemic mixture of S(-)- and R(+)-enantiomers. Both isomers have similar potency as local anesthetics, but the S(-)-enantiomer produces less central nervous system and cardiovascular toxicity. Local anesthetic-induced convulsion is likely to be associated with not only sodium ...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章

    doi:10.1016/j.rapm.2005.09.004

    authors: Ueta K,Sugimoto M,Suzuki T,Uchida I,Mashimo T

    更新日期:2006-01-01 00:00:00

  • A Prospective Randomized Comparative Trial of Targeted Steroid Injection Via Epidural Catheter Versus Standard C7-T1 Interlaminar Approach for the Treatment of Unilateral Cervical Radicular Pain.

    abstract:BACKGROUND AND OBJECTIVES:No study has compared cervical interlaminar epidural steroid injection (CIESI) with epidural catheter advancement to the side and level of pathology versus standard C7-T1 CIESI. This study investigated whether cervical radicular pain is more effectively treated by CIESI with a targeted epidura...

    journal_title:Regional anesthesia and pain medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AAP.0000000000000521

    authors: McCormick ZL,Nelson A,Bhave M,Zhukalin M,Kendall M,McCarthy RJ,Khan D,Nagpal G,Walega DR

    更新日期:2017-01-01 00:00:00