The spine journal : official journal of the North American Spine Society · 2006
Tophaceous gout of the lumbar spine mimicking pyogenic discitis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Suk Kyung-Soo, Kim Ki-Tack, Lee Sang-Hun, Park Sung-Woo, Park Yong-Koo
Аннотация
BACKGROUND CONTEXT: Gout of the spine is very rare. Forty-one cases of gout affecting the spine have been reported.
PURPOSE: To present a patient with tophaceous gout of the lumbar spine mimicking pyogenic discitis.
STUDY DESIGN: Case report.
METHODS: The medical record, including operative notes, progress notes, discharge summary, clinical notes, radiological study, and pathological studies was reviewed.
RESULTS: The patient had acute low back pain and radiculopathy with high spiking fever. Therefore, pyogenic discitis was suspected. However, histological diagnosis revealed tophaceous gout.
CONCLUSIONS: Tophaceous gout of the spine is very rare. However, when a patient presents with acute back pain and fever, spinal gout should be considered, particularly in a patient with a previous history of hyperuricemia or gout.
PURPOSE: To present a patient with tophaceous gout of the lumbar spine mimicking pyogenic discitis.
STUDY DESIGN: Case report.
METHODS: The medical record, including operative notes, progress notes, discharge summary, clinical notes, radiological study, and pathological studies was reviewed.
RESULTS: The patient had acute low back pain and radiculopathy with high spiking fever. Therefore, pyogenic discitis was suspected. However, histological diagnosis revealed tophaceous gout.
CONCLUSIONS: Tophaceous gout of the spine is very rare. However, when a patient presents with acute back pain and fever, spinal gout should be considered, particularly in a patient with a previous history of hyperuricemia or gout.