Endoscopic discectomy and debridement for a patient with spondylodiscitis caused by <i>Granulicatella adiacens</i> following mitral valve repair: a case report

摘要

We present the case of 40-year-old female patient had severe low back pain after robotic mitral valve repair for chordae tendineae rupture of anterior mitral leaflet. Lumbar-spine magnetic resonance imaging and blood culture diagnosed with Granulicatella adiacens spondylodiscitis at L5-S1, which was successfully treated with percutaneous spine endoscopic debridement and prolonged antimicrobial treatment. Early isolation and treatment of pathogens may decrease the need for surgical intervention with rapid recovery and a shorter duration of hospitalization. We should be aware of the diagnosis of spondylodiscitis when a patient has low back pain with a previous cardiac or dental procedure history. Endoscopic discectomy with debridement is a minimally invasive, safe, direct visualization and effective approach for treatment of infectious spondylodiscitis and is beneficial for symptom relief.