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Citrobacter koseri osteomyelitis/discitis

Zeola MZ - MedPix (2009)

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 had a lumbar puncture which revealed signs consistent with a potential infection. An MRI was then obtained for further evalutaion.

Findings: Initial plain radiograph showed narrowed disk space between T10-T11 and left paraspinal mass -MRI showed paraspinal mass in the anterior paraspinal soft tissues at T10-T11. T10-and T11 and intervertebral disc space show low signal intensity on T1 that becomes high signal intensity on T2 and enhanced after contrast consistent with vertebral osteomyelitis and discitis with paraspinal mass.

Ddx: 1. Discitis/osteomyelitis 2. Pott's Disease

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.


No evidence of cord compression from T10-T12
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MPX2531_synpic41983: No evidence of cord compression from T10-T12


Citrobacter koseri osteomyelitis/discitis

Zeola MZ - MedPix (2009)

No evidence of cord compression from T10-T12
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2531&req=5

MPX2531_synpic41983: No evidence of cord compression from T10-T12

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 had a lumbar puncture which revealed signs consistent with a potential infection. An MRI was then obtained for further evalutaion.

Findings: Initial plain radiograph showed narrowed disk space between T10-T11 and left paraspinal mass -MRI showed paraspinal mass in the anterior paraspinal soft tissues at T10-T11. T10-and T11 and intervertebral disc space show low signal intensity on T1 that becomes high signal intensity on T2 and enhanced after contrast consistent with vertebral osteomyelitis and discitis with paraspinal mass.

Ddx: 1. Discitis/osteomyelitis 2. Pott's Disease

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.