Gouty Spondyloarthropathy in the Lumbar Spine Mimicking Pyogenic Discitis : A Case Report.
10.4055/jkoa.2006.41.4.756
- Author:
Kyung Soo SUK
1
;
Ki Tack KIM
;
Jung Hee LEE
;
Sang Hun LEE
;
Sung Woo PARK
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. sks111@khmc.or.kr
- Publication Type:Case Report
- Keywords:
Spine;
Spondyloarthropathy;
Gout;
Pyogenic discitis
- MeSH:
Anti-Bacterial Agents;
Back Pain;
Diagnosis;
Discitis*;
Fever;
Gout;
Humans;
Hyperuricemia;
Low Back Pain;
Radiculopathy;
Spine*;
Spondylarthropathies*
- From:The Journal of the Korean Orthopaedic Association
2006;41(4):756-760
- CountryRepublic of Korea
- Language:Korean
-
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.
