Pyogenic Spodylitis Mimicking Metastatic Tumor: A Case Report

We report a case of pyogenic osteomyelitis that was difficult to distinguish from metastatic tumor in the thoracic vertebral bone. A sixty-seven-year-old man was referred to us with the chief complaint of back pain. Magnetic resonance imaging demonstrated abnormal signal intensity of the Th11 verteb...

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Published inOrthopedics & Traumatology Vol. 51; no. 2; pp. 378 - 380
Main Authors Hara, Katsutoshi, Takashita, Mitsuhiro, Matsumoto, Hirofumi, Takita, Chikahiro, Uchino, Shoichi, Tokumaru, Shinichi, Tsumura, Hiroshi
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 2002
Subjects
diagnosis
MRI
pyogenic spondylitis
spinal neoplasm
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Summary:We report a case of pyogenic osteomyelitis that was difficult to distinguish from metastatic tumor in the thoracic vertebral bone. A sixty-seven-year-old man was referred to us with the chief complaint of back pain. Magnetic resonance imaging demonstrated abnormal signal intensity of the Th11 vertebral body and lamina without disc space narrowing. From radiographic findings and the clinical absence of fever, we suspected metastatic tumor, and performed operation. Histopathological examination of the focus demonstrated granulation tissue with lymphocyte and neutrophilic lymphocyte. The patient was successfully treated with intravenous antibiotics.
ISSN:0037-1033
1349-4333
DOI:10.5035/nishiseisai.51.378