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Case Report
DOI: 10.1016/j.neucir.2018.02.004
Delayed surgical site infection 2 years after cervical disk arthroplasty. Case report and literature review
Infección diferida del sitio quirúrgico 2 años después de la artroplastia de disco cervical. Caso clínico y revisión de la literatura
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Aleix Rossellóa,
Corresponding author
, Jose Luis Sanmillána, Luis López-Obarrioa, Iván Pelegrínb, Andreu Gabarrósa, Oscar Godinoa
a Neurosurgery Department, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
b Infectious Diseases Department, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Received 26 October 2017, Accepted 15 February 2018
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Table 1. Overview of 7 reported cases of anterior cervical spine delayed SSI.
Abstract

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.

Keywords:
Cervical disk arthroplasty
Delayed infection
Surgical site infection
Cervical abscess
Beta-2-transferrin
Neuraminidase
Abbreviations:
BOP
CRP
CSF
CT
ESR
MR
PCR
SSI
WBC
Resumen

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.

Palabras clave:
Artroplastia cervical
Infección diferida
Infección del sitio quirúrgico
Absceso cervical
Beta-2-transferrina
Neuraminidasa

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