J Korean Orthop Assoc.
2006 Aug;41(4):756-760.
Gouty Spondyloarthropathy in the Lumbar Spine Mimicking Pyogenic Discitis : A Case Report
- Affiliations
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- 1Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. sks111@khmc.or.kr
Abstract
- A 55-year-old-male patient had acute lower back pain and radiculopathy with high spiking fever, which indicated pyogenic discitis. Intravenous antibiotics were administered but a high spiking fever and elevated laboratory findings indicated an infection. Therefore, surgery was performed. However, histological diagnosis revealed tophaceous gout. A diagnosis of spinal gout should be considered when there are clinical presentations of acute back pain and fever, especially in patients with acute back pain and a prior history of hyperuricemia or gout.
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