Chronic Osteomyelitis of the Lumbar Transverse Process
Clinics in Orthopedic Surgery
; : 254-257, 2011.
Article
en En
| WPRIM
| ID: wpr-102709
Biblioteca responsable:
WPRO
ABSTRACT
Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain.
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Texto completo:
1
Índice:
WPRIM
Asunto principal:
Osteomielitis
/
Enfermedades de la Columna Vertebral
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Infecciones Estafilocócicas
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Imagen por Resonancia Magnética
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Tomografía Computarizada por Rayos X
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Enfermedad Crónica
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Vértebras Lumbares
Tipo de estudio:
Prognostic_studies
Límite:
Humans
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Male
Idioma:
En
Revista:
Clinics in Orthopedic Surgery
Año:
2011
Tipo del documento:
Article