{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:23:25Z","timestamp":1755221005663,"version":"3.43.0"},"reference-count":10,"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>Full-endoscopic spinal surgery (FESS) is an effective technique for reducing the risk of surgical site infection. However, postoperative infections do occur but are only rarely reported.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 71-year-old male underwent a left L45 FESS for foraminal stenosis and disc herniation. Postop day 40, he developed the sudden onset of severe low back pain\/sciatica. Although he remained afebrile and laboratory tests showed only mild inflammation (C-reactive protein: 2.1 mg\/dL, white blood cell count within the normal range), the lumbar magnetic resonance and computed tomography (CT) studies revealed L4\/5 osteomyelitis. The CT-guided biopsy documented <jats:italic>Cutibacterium acnes<\/jats:italic> (formerly <jats:italic>Propionibacterium acnes<\/jats:italic>), and the patient responded well to antibiotic treatment alone, without requiring additional surgical intervention.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This case describes the 40-day delayed postoperative-onset of osteomyelitis following a right L45 FESS caused by <jats:italic>C. acnes<\/jats:italic>.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_720_2025","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T06:59:55Z","timestamp":1754636395000},"page":"327","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case of osteomyelitis caused by <i>Cutibacterium acnes<\/i> after full-endoscopic spinal surgery"],"prefix":"10.25259","volume":"16","author":[{"given":"Saori","family":"Takeuchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Yabuno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Yunoki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Hirashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"10.25259\/SNI_720_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.3390\/jcm13051478","article-title":"Post-discectomy infection: A critical review and suggestion of a management algorithm","volume":"13","author":"Chaniotakis","year":"2024","journal-title":"J Clin 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