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24 August 2023 : Case report  Japan

[In Press] Septic Arthritis of Cervical Spine Facet Joints: A Case Report and Review of Imaging

Rare disease

Hironori Kitajima ORCID logo1ABCDE, Eiju Hatano1ABCD, Masahito Kawaguchi1E, Takuya Sakamoto ORCID logo2F, Toru Ichiseki1E, Ayumi Kaneuji1E, Norio Kawahara1E

DOI: 10.12659/AJCR.941578

Am J Case Rep In Press; DOI: 10.12659/AJCR.941578  

Available online: 2023-08-24, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule


Septic arthritis of the facet joint (SAFJ) has been considered a rare type of spinal infection. However, because of the aging of the population, the increase in compromised hosts, and the increase in MRI use in recent years, the number of reports has been increasing. We report the clinical progress of a rare case of septic arthritis of the cervical facet joint (SACFJ) with some imaging considerations, and we compare our findings with existing reports of SACFJ.
A 73-year-old Japanese woman presented with fever, paralytic symptoms, and paresthesia of the upper limbs. Here, we report a case of SACFJ in which MRI findings allowed early diagnosis, and a favorable course was obtained by conservative treatment with antibiotics. Although MRI performed 93 days after the initiation of treatment showed a slight residual signal change in the facet joints, no symptoms had recurred by the sixth month after hospital discharge.
If a patient develops neurological symptoms such as paralysis with fever and increased inflammatory response, the physician must consider the possibility of pyogenic spondylitis, including SACFJ, and order an MRI. Epidural abscess is almost inevitable in SACFJ, and surgical treatment, including abscess drainage, is required if spinal cord or paralytic symptoms progress. For patients with SACFJ, as well as pyogenic spondylitis, MRI may not be useful in determining treatment efficacy.

Keywords: Epidural Abscess; Magnetic Resonance Imaging; Pyogenic Arthritis, Pyoderma Gangrenosum, and Acne

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21 Sep 2023 : Case report  Cyprus

Successful Outpatient Treatment of Severe Diabetic-Foot Myositis and Osteomyelitis Caused by Extensively Dr...

Am J Case Rep In Press; DOI: 10.12659/AJCR.941337  

21 Sep 2023 : Case report  Brazil

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Am J Case Rep In Press; DOI: 10.12659/AJCR.941422  

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Emphysematous Cystitis: A Rare Urologic Emergency

Am J Case Rep In Press; DOI: 10.12659/AJCR.941599  

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Am J Case Rep In Press; DOI: 10.12659/AJCR.941877  

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923