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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.


Increased signal intensity from inferior T10 to superior T11 with soft tissue hyperintensity and loss of disc height in the T10-T11 intervertebral space with associated cord compression.
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MPX2531_synpic41988: Increased signal intensity from inferior T10 to superior T11 with soft tissue hyperintensity and loss of disc height in the T10-T11 intervertebral space with associated cord compression.


Citrobacter koseri osteomyelitis/discitis

Zeola MZ - MedPix (2009)

Increased signal intensity from inferior T10 to superior T11 with soft tissue hyperintensity and loss of disc height in the T10-T11 intervertebral space with associated cord compression.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2531_synpic41988: Increased signal intensity from inferior T10 to superior T11 with soft tissue hyperintensity and loss of disc height in the T10-T11 intervertebral space with associated cord compression.

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.