著者 |
加藤 綾子
卒後臨床研修センター
瀧波 慶和
救急医学講座
小谷 暢啓
救急医学講座
仁科 雅良
救急医学講座
金山 秀和
放射線部
山本 伸子
放射線部
桑田 卓
整形外科学講座
伊藤 礼司
整形外科学講座
多久和 紘志
整形外科学講座
松崎 雅彦
整形外科学講座
内尾 祐司
整形外科学講座
|
内容記述(抄録等) | 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. |
主題 | back pain
contrast CT
fever
radiology review
urinary tract infection
vertebral spondylitis
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掲載誌情報 |
Shimane Journal of Medical Science
34
( 2
), 81
- 84
, 2017-12-31
|
出版者 | Faculty of Medicine, Shimane University
|
権利関係 | Faculty of Medicine, Shimane University
|