J Korean Orthop Assoc.  2006 Aug;41(4):756-760.

Gouty Spondyloarthropathy in the Lumbar Spine Mimicking Pyogenic Discitis : A Case Report

  • 1Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. sks111@khmc.or.kr


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.


Spine; Spondyloarthropathy; Gout; Pyogenic discitis
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