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Citrobacter koseri osteomyelitis/discitis

Zeola MZ - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Citrobacter koseri osteomyelitis/discitis

History: 52 y/o AA male recently deployed soldier who was medically evacuated due to chronic back pain that interfered with his duties as a truckdriver. While being evaluated stateside his pain worsened and he developed altered mental status, prompting a lumbar puncture which revealed signs consistent with a potential infection. An MRI was then obtained for further evalutaion.

Findings: -Plain radiograph one week later showed decreased disk space between T10-T11 -On fat-suppressed MRI (STIR and FSE T2-weighted with fat sat MRI), high-signal -ntensity mass anterior to thoracic vertebrae, high signal intensity in the disc space and in the thoracic vertebrae at this level are consistent with infection. These areas enhance after contrast on the contrast-enhanced fat-saturated T1-weighted MR images.

Ddx: 1. Discitis/osteomyelitis 2. Pott's Disease 3. DJD 4. Metastatic cancer

Dxhow: CT guided needle biopsy

Exam: Back: Mild tenderness to palpation over lower thoracic/upper lumbar spine. CSF: LP opening pressure: 18 cm H2O, wbc=32,rbc=2, glc=53, prtn=92 76%lymphs. Gram stain: pmns present. no organisms. CBC: 5.68>10.6/31.6<443 CMP: 140/4.4/99/29/11/0.5<95, Ca 9.6, PO4 4.8, Mg 1.6

No MeSH data available.


CT Guided Needle biopsy of T10-T11 abscess.
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MPX2046_synpic42122: CT Guided Needle biopsy of T10-T11 abscess.


Citrobacter koseri osteomyelitis/discitis

Zeola MZ - MedPix (2008)

CT Guided Needle biopsy of T10-T11 abscess.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2046&req=5

MPX2046_synpic42122: CT Guided Needle biopsy of T10-T11 abscess.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Citrobacter koseri osteomyelitis/discitis

History: 52 y/o AA male recently deployed soldier who was medically evacuated due to chronic back pain that interfered with his duties as a truckdriver. While being evaluated stateside his pain worsened and he developed altered mental status, prompting a lumbar puncture which revealed signs consistent with a potential infection. An MRI was then obtained for further evalutaion.

Findings: -Plain radiograph one week later showed decreased disk space between T10-T11 -On fat-suppressed MRI (STIR and FSE T2-weighted with fat sat MRI), high-signal -ntensity mass anterior to thoracic vertebrae, high signal intensity in the disc space and in the thoracic vertebrae at this level are consistent with infection. These areas enhance after contrast on the contrast-enhanced fat-saturated T1-weighted MR images.

Ddx: 1. Discitis/osteomyelitis 2. Pott's Disease 3. DJD 4. Metastatic cancer

Dxhow: CT guided needle biopsy

Exam: Back: Mild tenderness to palpation over lower thoracic/upper lumbar spine. CSF: LP opening pressure: 18 cm H2O, wbc=32,rbc=2, glc=53, prtn=92 76%lymphs. Gram stain: pmns present. no organisms. CBC: 5.68>10.6/31.6<443 CMP: 140/4.4/99/29/11/0.5<95, Ca 9.6, PO4 4.8, Mg 1.6

No MeSH data available.