Imaging in Acute Pyogenic Spondylitis

A 51-year-old woman who was receiving 7.5 mg prednisone daily for sarcoidosis presented with low backache on the right side, fever, and chills 2 weeks after dental surgery. Examination revealed lower lumbar tenderness and restricted movement. Blood cultures grew Streptococcus viridans but echocardio...

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Bibliographic Details
Published in:	Clinical nuclear medicine Vol. 31; no. 2; pp. 85 - 86
Main Authors:	Adams, Bruce K, Youssef, Inas, El-Tom, El-Fatih Ahmed
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins, Inc 01-02-2006
Subjects:	Acute Disease Female Humans Lumbar Vertebrae - diagnostic imaging Middle Aged Radiography Radionuclide Imaging Spondylitis - diagnostic imaging Streptococcal Infections - diagnostic imaging Suppuration - diagnostic imaging
Online Access:	Get full text
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Summary:	A 51-year-old woman who was receiving 7.5 mg prednisone daily for sarcoidosis presented with low backache on the right side, fever, and chills 2 weeks after dental surgery. Examination revealed lower lumbar tenderness and restricted movement. Blood cultures grew Streptococcus viridans but echocardiography failed repeatedly to demonstrate any evidence of infective endocarditis. Skeletal scintigraphy, including a pinhole image, revealed abnormal uptake in L5. Computed tomography (CT) showed a lytic lesion in the body of L5 and Tc-99m ciprofloxacin (Infecton) imaging demonstrated increased uptake in the lower lumbar region on the right. After several weeks of antibiotic therapy, the patient became afebrile and pain-free.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0363-9762 1536-0229
DOI:	10.1097/01.rlu.0000196411.15262.f2