{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:00:28Z","timestamp":1785423628480,"version":"3.56.0"},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background:<\/jats:title>\n<jats:p>The incidence of <jats:italic>Mycobacterium abscessus<\/jats:italic> (MA), a rapidly growing species of nontuberculous mycobacteria (NTM)-related infections, has been steadily rising over the past decade. Despite the increased prevalence of NTM-related infections, it is largely underreported from TB-endemic countries due to lack of awareness and limited laboratory facilities. Here, we report a rare case of L4\u2013L5 spondylodiscitis caused by MA following ozone therapy (a noncondoned method of lumbar disc management).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description:<\/jats:title>\n<jats:p>A healthy, nonimmunocompromised 43-year-old female presented with bilateral lower extremity radiculopathy. She underwent a fluoroscopically guided percutaneous ozone treatment for degenerated disc disease at the L4\u2013L5 level. She was symptom free for 3 months duration. She then presented with severe low back pain, bilateral lower extremity radiculopathy, and spondylodiscitis at the L4\u2013L5 level. This was treated with a L4\u2013L5 transforaminal lumbar interbody fusion. MA was cultured from the epidural purulent material collected during the surgery. The patient was discharged on oral clarithromycin 500 mg twice daily and intravenous amikacin 500 mg twice daily for 6 weeks. The plan was to then continue oral clarithromycin for another 6 weeks till resolution of primary infection.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>Early diagnosis and appropriate therapy is required to treat NTM which is more prevalent in epidemic\/endemic regions.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_50_2019","type":"journal-article","created":{"date-parts":[[2020,4,4]],"date-time":"2020-04-04T10:44:44Z","timestamp":1585997084000},"page":"63","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Mycobacterium abscessus<\/i> mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature"],"prefix":"10.25259","volume":"11","author":[{"given":"Prem Bahadur","family":"Shahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishnuprasad","family":"Panigrahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Kalra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. S.","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,4,4]]},"reference":[{"key":"10.25259\/SNI_50_2019\/ref-1","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s11420-016-9500-1","article-title":"Cervical spondylodiscitis after oxygen-ozone therapy for treatment of a cervical disc herniation: A case report and review of the literature","volume":"12","author":"Andr\u00e9s-Cano","year":"2016","journal-title":"HSS J"},{"key":"10.25259\/SNI_50_2019\/ref-2","doi-asserted-by":"crossref","first-page":"e0007083","DOI":"10.1371\/journal.pntd.0007083","article-title":"The complexities and challenges of preventing and treating nontuberculous mycobacterial diseases","volume":"13","author":"Baldwin","year":"2019","journal-title":"PLoS Negl Trop Dis"},{"key":"10.25259\/SNI_50_2019\/ref-3","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ijid.2017.05.007","article-title":"Mycobacteriological characteristics and treatment outcomes in extrapulmonary Mycobacterium abscessus complex infections","volume":"60","author":"Jeong","year":"2017","journal-title":"Int J Infect Dis"},{"key":"10.25259\/SNI_50_2019\/ref-4","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12890-019-0860-4","article-title":"Mycobacterium abscessus ssp. abscessus infection progressing to empyema from vertebral osteomyelitis in an immunocompetent patient without pulmonary disease: A case report","volume":"19","author":"Kadota","year":"2019","journal-title":"BMC Pulm Med"},{"key":"10.25259\/SNI_50_2019\/ref-5","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1038\/s41394-019-0197-5","article-title":"Mycobacterium abscessus associated vertebral osteomyelitis in an immunocompetent patient: a rare case report and literature review","volume":"5","author":"Moral","year":"2019","journal-title":"Spinal Cord Ser Cases"},{"key":"10.25259\/SNI_50_2019\/ref-6","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/j.1600-0463.2006.apm_390.x","article-title":"Mycobacterium abscessus An emerging rapid-growing potential pathogen","volume":"114","author":"Petrini","year":"2006","journal-title":"APMIS"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/mycobacterium-abscessus-mimicking-tubercular-spondylodiscitis-following-ozone-therapy-a-case-report-and-review-of-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/mycobacterium-abscessus-mimicking-tubercular-spondylodiscitis-following-ozone-therapy-a-case-report-and-review-of-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,4]],"date-time":"2020-04-04T10:44:47Z","timestamp":1585997087000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/mycobacterium-abscessus-mimicking-tubercular-spondylodiscitis-following-ozone-therapy-a-case-report-and-review-of-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,4]]},"references-count":6,"alternative-id":["10.25259\/SNI_50_2019"],"URL":"https:\/\/doi.org\/10.25259\/sni_50_2019","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,4]]},"article-number":"63"}}