{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:34Z","timestamp":1756339474253,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,4,10]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>This case report describes a clinical presentation of spondylodiscitis, following an emergency ureteric stent placement for an infected and obstructed kidney in a woman in her late 70s who presented with right flank pain, raised inflammatory markers and an acute kidney injury. Non-contrast CT kidney, ureters and bladder (KUB) revealed a 9\u2009mm obstructing stone and prompt decompression with a JJ stent was performed. Although the urine culture showed no growth at first, an extended spectrum beta-lactamase <jats:italic>Escherichia coli<\/jats:italic> was found in a subsequent urine culture after discharge. Postoperatively, the patient described a novel, worsening lower back pain and had persistently elevated inflammatory markers. An MRI revealed spondylodiscitis of L5\/S1, for which she was treated with a 6-week course of antibiotics, and she has made a good but slow recovery. This case shows the unusual finding of spondylodiscitis postureteric stent placement and clinicians should be aware of this rare complication.<\/jats:p>","DOI":"10.1136\/bcr-2022-252457","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T11:06:34Z","timestamp":1683025594000},"page":"e252457","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ureteric stent associated spondylodiscitis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5364-211X","authenticated-orcid":false,"given":"Daniel","family":"Baron","sequence":"first","affiliation":[{"name":"Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Giona","sequence":"additional","affiliation":[{"name":"Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Chetwood","sequence":"additional","affiliation":[{"name":"Urology, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"2025082707482074000_16.5.e252457.1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.euros.2021.10.008","article-title":"Global trends in incidence and burden of urolithiasis from 1990 to 2019: an analysis of global burden of disease study data","volume":"35","author":"Lang","year":"2022","journal-title":"Eur Urol Open Sci"},{"key":"2025082707482074000_16.5.e252457.2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.euf.2017.04.001","article-title":"Burden of urolithiasis: trends in prevalence, treatments, and costs","volume":"3","author":"Raheem","year":"2017","journal-title":"Eur Urol Focus"},{"key":"2025082707482074000_16.5.e252457.3","first-page":"446","article-title":"Is primary ureteroscopy an alternative to emergency stenting in terms of quality and cost?","volume":"74","author":"Wani","year":"2021","journal-title":"Cent European J Urol"},{"key":"2025082707482074000_16.5.e252457.4","doi-asserted-by":"crossref","first-page":"769","DOI":"10.25122\/jml-2021-0352","article-title":"Ureteral stent complications-experience on 50,000 procedures","volume":"14","author":"Geavlete","year":"2021","journal-title":"J Med Life"},{"key":"2025082707482074000_16.5.e252457.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-010-0141-0"},{"key":"2025082707482074000_16.5.e252457.6","doi-asserted-by":"publisher","DOI":"10.1038\/nrmicro3432"},{"key":"2025082707482074000_16.5.e252457.7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0221944","article-title":"The health and cost burden of antibiotic resistant and susceptible Escherichia coli bacteraemia in the English hospital setting: a national retrospective cohort study","volume":"14","author":"Naylor","year":"2019","journal-title":"PLoS One"},{"key":"2025082707482074000_16.5.e252457.8","first-page":"181","article-title":"Current diagnosis and treatment of spondylodiscitis","volume":"105","author":"Sobottke","year":"2008","journal-title":"Dtsch Arztebl Int"},{"key":"2025082707482074000_16.5.e252457.9","first-page":"iii11","article-title":"Spondylodiscitis: update on diagnosis and management","volume":"65 Suppl 3","author":"Gouliouris","year":"2010","journal-title":"J Antimicrob Chemother"},{"key":"2025082707482074000_16.5.e252457.10","first-page":"174","article-title":"Community acquired spondylodiscitis caused by Escherichia coli; 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