Saori Takeuchi, Satoru Yabuno, Masatoshi Yunoki, Koji Hirashita
{"title":"全内窥镜脊柱手术后由痤疮表皮杆菌引起的骨髓炎1例。","authors":"Saori Takeuchi, Satoru Yabuno, Masatoshi Yunoki, Koji Hirashita","doi":"10.25259/SNI_720_2025","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Full-endoscopic spinal surgery (FESS) is an effective technique for reducing the risk of surgical site infection. However, postoperative infections do occur but are only rarely reported.</p><p><strong>Case description: </strong>A 71-year-old male underwent a left L45 FESS for foraminal stenosis and disc herniation. Postop day 40, he developed the sudden onset of severe low back pain/sciatica. Although he remained afebrile and laboratory tests showed only mild inflammation (C-reactive protein: 2.1 mg/dL, white blood cell count within the normal range), the lumbar magnetic resonance and computed tomography (CT) studies revealed L4/5 osteomyelitis. The CT-guided biopsy documented <i>Cutibacterium acnes</i> (formerly <i>Propionibacterium acnes</i>), and the patient responded well to antibiotic treatment alone, without requiring additional surgical intervention.</p><p><strong>Conclusion: </strong>This case describes the 40-day delayed postoperative-onset of osteomyelitis following a right L45 FESS caused by <i>C. acnes</i>.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"327"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477959/pdf/","citationCount":"0","resultStr":"{\"title\":\"Case of osteomyelitis caused by <i>Cutibacterium acnes</i> after full-endoscopic spinal surgery.\",\"authors\":\"Saori Takeuchi, Satoru Yabuno, Masatoshi Yunoki, Koji Hirashita\",\"doi\":\"10.25259/SNI_720_2025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Full-endoscopic spinal surgery (FESS) is an effective technique for reducing the risk of surgical site infection. However, postoperative infections do occur but are only rarely reported.</p><p><strong>Case description: </strong>A 71-year-old male underwent a left L45 FESS for foraminal stenosis and disc herniation. Postop day 40, he developed the sudden onset of severe low back pain/sciatica. Although he remained afebrile and laboratory tests showed only mild inflammation (C-reactive protein: 2.1 mg/dL, white blood cell count within the normal range), the lumbar magnetic resonance and computed tomography (CT) studies revealed L4/5 osteomyelitis. The CT-guided biopsy documented <i>Cutibacterium acnes</i> (formerly <i>Propionibacterium acnes</i>), and the patient responded well to antibiotic treatment alone, without requiring additional surgical intervention.</p><p><strong>Conclusion: </strong>This case describes the 40-day delayed postoperative-onset of osteomyelitis following a right L45 FESS caused by <i>C. acnes</i>.</p>\",\"PeriodicalId\":94217,\"journal\":{\"name\":\"Surgical neurology international\",\"volume\":\"16 \",\"pages\":\"327\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477959/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical neurology international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/SNI_720_2025\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_720_2025","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Case of osteomyelitis caused by Cutibacterium acnes after full-endoscopic spinal surgery.
Background: Full-endoscopic spinal surgery (FESS) is an effective technique for reducing the risk of surgical site infection. However, postoperative infections do occur but are only rarely reported.
Case description: A 71-year-old male underwent a left L45 FESS for foraminal stenosis and disc herniation. Postop day 40, he developed the sudden onset of severe low back pain/sciatica. Although he remained afebrile and laboratory tests showed only mild inflammation (C-reactive protein: 2.1 mg/dL, white blood cell count within the normal range), the lumbar magnetic resonance and computed tomography (CT) studies revealed L4/5 osteomyelitis. The CT-guided biopsy documented Cutibacterium acnes (formerly Propionibacterium acnes), and the patient responded well to antibiotic treatment alone, without requiring additional surgical intervention.
Conclusion: This case describes the 40-day delayed postoperative-onset of osteomyelitis following a right L45 FESS caused by C. acnes.
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