Delayed surgical site infection 2 years after cervical disk arthroplasty. Case report and literature review

Anterior cervical discectomy has a low non-mechanical complication rate. In our literature review, we found 7 cases of delayed surgical site infection. We report a case of cervical prevertebral abscess due to Propionibacterium acnes 2 years after discectomy and arthroplasty, with a beta-2-transferri...

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Bibliographic Details
Published in:Neurocirugía (Asturias, Spain) Spain), 2019-03, Vol.30 (2), p.81-86
Main Authors: Rosselló, Aleix, Sanmillán, Jose Luis, López-Obarrio, Luis, Pelegrín, Iván, Gabarrós, Andreu, Godino, Oscar
Format: Article
Language:English
Subjects:
Absceso cervical
Artroplastia cervical
Beta-2-transferrin
Beta-2-transferrina
Cervical abscess
Cervical disk arthroplasty
Delayed infection
Infección del sitio quirúrgico
Infección diferida
Neuraminidasa
Neuraminidase
Surgical site infection
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Summary:Anterior cervical discectomy has a low non-mechanical complication rate. In our literature review, we found 7 cases of delayed surgical site infection. We report a case of cervical prevertebral abscess due to Propionibacterium acnes 2 years after discectomy and arthroplasty, with a beta-2-transferrin false positive test as a complementary highlighted finding. We discuss the diagnosis and etiology of this rare delayed infectious complication. La discectomía cervical anterior tiene una baja tasa de complicaciones no mecánicas. En la revisión de la literatura, encontramos 7 casos de infección diferida del sitio quirúrgico. Presentamos un caso de absceso cervical prevertebral secundario a Propionibacterium acnes 2 años después de la cirugía, asociado a un falso positivo del test de beta-2-transferrina como hallazgo complementario a destacar, y discutimos el diagnóstico y la etiología de esta rara complicación infecciosa diferida.
ISSN:1130-1473
2529-8496
DOI:10.1016/j.neucir.2018.02.004