Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 18541
  Title Vertebral osteomyelitis: a case report of a patient presenting with acute low back pain
Journal J Manipulative Physiol Ther. 2005 Nov-Dec;28(9):713-718
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVE: To report and discuss a case of vertebral osteomyelitis presenting to a chiropractic clinic.

CLINICAL FEATURES: A 65-year-old man presented to a chiropractic clinic with acute low back pain. A lumbar spine magnetic resonance image was obtained with and without contrast in both the sagittal and axial planes. The diagnostic impression was osteomyelitis and discitis across the L2-3 disk space with epidural abscess posterior to L3 and a paravertebral abscess. The patient was referred for medical management. A computed tomography-guided fine needle aspiration was performed and confirmed a Staphylococcus aureus infection. The L2-3 level was surgically debrided and fused after a regimen of antibiotic therapy.

CONCLUSIONS: This case report presents a typical clinical presentation of vertebral osteomyelitis and reviews the diagnostic imaging, pathophysiology of spontaneous vertebral osteomyelitis, and treatment options in the management of this condition.

Click on the above link for the PubMed record for this article; full text by subscription. The abstract is reproduced here with the permission of the publisher.
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