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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
OAI-PMH Set
Faculty of Medicine
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