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Q J Med 2002; 95: 189-191
© 2002 Association of Physicians

Correspondence

Septic discitis presenting following intravenous cannulation

M. Hatton, M. Gupta, P. Balint and M. Field

Centre for Rheumatic Diseases, University Department of Medicine, Glasgow Royal Infirmary, Glasgow

Sir,

The review of 22 cases of septic discitis1 highlights similarities with other deep-seated infections within the musculoskeletal system such as septic arthritis (SA). Here we present a case of septic discitis that confirms these similarities, shows that ultrasound can be useful in identifying soft tissue damage and demonstrates that distant infection can be the site of haematogenous bacterial spread. It also shows that the C-reactive protein (CRP) is particularly useful in monitoring the acute phase response and success of treatment.

A 43-year-old fireman was admitted with acute-onset lower back and left hip pain. Five weeks earlier, he had sustained a scalp laceration necessitating suture and intravenous antibiotic treatment. Subsequently, a swelling developed at the site of injection (dorsum of the right hand) and he became unable to elevate the middle and ring fingers, but did not seek further medical . . . [Full Text of this Article]

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J.M. Greig, C.J. Ellis, and E.G. Smith
Septic discitis and other complications of peripheral venous cannulation
QJM, June 1, 2002; 95(6): 412 - 413.
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