A case of acute discitis following spinal anaesthesia: a rarity or a tip of the iceberg?

Authors

DOI:

https://doi.org/10.3126/jsan.v4i1.17478

Keywords:

Acute discitis, low back pain, spinal anesthesia

Abstract

Acute discitis, an inflammatory process of the intervertebral disc, has been reported as a rare complication of bacterial infection or chemical or mechanical irritation most commonly following spinal surgery. It may extend into the adjacent tissue and lead to grave orthopaedic and neurological consequences. Although it has been reported as an infective complication following spinal anesthesia also, its true incidence in our part of the world is not known. It may be higher than generally thought as the technique is overwhelmingly used. Further, we do not know about its awareness among anesthesia practitioners. Here we report a case of acute discitis in a young lady who presented with severe acute low back pain two weeks after spinal anesthesia for caesarean section; magnetic resonance imaging of lumbosacral spine revealed infective spondilodiscitis and she was treated with antibiotics and analgesics. The true incidence of acute infective discitis following spinal anaesthesia in our part of the world is unknown and it may be higher that thought. It can be prevented by using rigorous aseptic techniques, and anesthesia should be administered by appropriately qualified and trained personnel.

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Author Biographies

Siddhartha Koirala, Purbanchal University, Gothgaun, Morang 56611

Dean, Medicine, Purbanchal University

Suraj Lamichhane, Nepal Police Hospital, Panipokhari Marg, Maharajgunj, Kathmandu 44600

Anaesthesiologist

Navin Karn, Neuro Cardio and Multispeciality Hospital Pvt Ltd, Jahada Road, Biratnagar 56613

Senior Consultant Orthopaedic Surgeon

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Published

2017-06-28

How to Cite

Koirala, S., Lamichhane, S., & Karn, N. (2017). A case of acute discitis following spinal anaesthesia: a rarity or a tip of the iceberg?. Journal of Society of Anesthesiologists of Nepal, 4(1), 38–41. https://doi.org/10.3126/jsan.v4i1.17478

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Section

Case Reports