Challenges in Diagnosis and Management of Spondylodiscitis of L-5/S-1 Due to Propionibacterium acnes in a Patient with a Twenty-Year History of Tetraplegia
Vaidyanathan Subramanian, Bakulesh Madhusudan Soni, Peter Lyndon Hughes, Tun Oo · 2026
Read Challenges in Diagnosis and Management of Spondylodiscitis of L-5/S-1 Due to Propionibacterium acnes in a Patient with a Twenty-Year History of Tetraplegia by Vaidyanathan Subramanian, Bakulesh Madhusudan Soni, Peter Lyndon Hughes, Tun Oo (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13298290.txt.
Description
Vaidyanathan Subramanian and co-authors present a difficult spinal infection case in a man with twenty years of tetraplegia, in a 2026 report. Raised inflammation markers and worse spasms pointed to infection, yet no source was obvious. Whole-body imaging located destruction at the lowest lumbar and sacral vertebrae, plus a nearby abscess.
Care happened mainly at home, with community nurses giving intravenous antibiotics and spinal specialists monitoring remotely. A guided biopsy grew Propionibacterium acnes only after extended incubation, from one of five samples. Shared decision-making then favoured active surveillance, and follow-up imaging stayed stable. The authors argue home-centred pathways can work even for complex spinal infection.
Catalog record
| CREATOR | Vaidyanathan Subramanian, Bakulesh Madhusudan Soni, Peter Lyndon Hughes, Tun Oo |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |