| File | |
| language |
eng
|
| Attribute |
Case report
|
| Author |
Kato, Ayako
Postgraduate Clinical Training Center
Takinami, Yoshikazu
Department of Emergency and Critical Care Medicine
Kodani, Nobuhiro
Department of Emergency and Critical Care Medicine
Nishina, Masayosi
Department of Emergency and Critical Care Medicine
Kanayama, Hidekazu
Department of Radiology, shimane University Hospital
Yamamoto, Nobuko
Department of Radiology, shimane University Hospital
Kuwata, Suguru
Department of Orthopedics
Ito, Reiji
Department of Orthopedics
Takuwa, Hiroshi
Department of Orthopedics
Matuzaki, Masahiko
Department of Orthopedics
Uchio, Yuji
Department of Orthopedics
|
| Description | Vertebral spondylitis is difficult to diagnose and
is often treated as fever of unknown origin. We encountered a 46-year-old man with complaints of fever and back pain. He had costovertebral angle tenderness on percussion and elevated inflammatory markers on blood biochemistry; he was suspected to have urinary tract infection. A likely cause of fever, such as pyelonephritis, was elusive on non-contrast chest/abdomen/pelvis computed tomography and subsequent contrast computed tomography and magnetic resonance imaging. Specialist radiology review was suggestive of vertebral spondylitis. Physical reexamination revealed numbness and muscle weakness consistent with the location of the lesions. Conservative antibiotic treatment was initiated. Septic right knee joint was also suspected, and arthroscopic washout with débridement was urgently performed. Inflammatory markers improved on conservative antibiotic treatment. In emergency settings, thorough physical examination and coordination between medical specialists is crucial. |
| Subject | back pain
contrast CT
fever
radiology review
urinary tract infection
vertebral spondylitis
|
| Journal Title |
Shimane Journal of Medical Science
|
| Volume | 34
|
| Issue | 2
|
| Start Page | 81
|
| End Page | 84
|
| ISSN | 03865959
|
| ISSN（Online） | 24332410
|
| Published Date | 2017-12-31
|
| NCID | AA00841586
|
| Publisher | Faculty of Medicine, Shimane University
|
| Publisher Aalternative | 島根大学医学部
|
| NII Type |
Departmental Bulletin Paper
|
| Format |
PDF
|
| Rights | Faculty of Medicine, Shimane University
|
| Text Version |
出版社版
|
| Gyoseki ID | e33322
|
| OAI-PMH Set |
Faculty of Medicine
|
| 他の一覧 |
