Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis.
10.4078/jrd.2018.25.2.140
- Author:
Kee Eon YOO
1
;
Seoung Wan NAM
;
Hyuk Hee KWON
;
Seunghun LEE
;
Jae Bum JUN
;
Yoon Kyoung SUNG
;
Soo Kyung CHO
Author Information
1. Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea. skchomd@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Polymyalgia rheumatica;
Back pain;
Arthralgia;
Positron emission tomography computed tomography
- MeSH:
Anti-Bacterial Agents;
Arthralgia;
Back Pain;
Bursitis;
Celecoxib;
Chills;
Dilatation;
Female;
Fever;
Humans;
Inflammation;
Injections, Epidural;
Low Back Pain;
Magnetic Resonance Imaging;
Middle Aged;
Polymyalgia Rheumatica*;
Positron-Emission Tomography;
Prednisolone;
Referral and Consultation;
Spinal Stenosis;
Spine;
Spondylitis*
- From:Journal of Rheumatic Diseases
2018;25(2):140-143
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 60-year-old woman visited the authors' clinic with low back pain and arthralgia. Her symptoms had occurred 6 months previously, and she was treated with an epidural injection and a balloon dilatation procedure based on the assumption of spinal stenosis, but both treatments were ineffective. Her low back pain was aggravated, accompanied by fever and chills over a period of 4 months. As a result, she visited another referral hospital and was diagnosed with infective spondylitis associated with the invasive procedure. Her symptoms improved with antibiotics, but they recurred. When she visited our clinic, she still had continuous low back pain and febrile senses. Magnetic resonance imaging of her lumbar spine revealed interspinous bursitis, and 18 F-fluorodeoxyglucose positron emission tomography showed multifocal synovial inflammation. She was diagnosed with polymyalgia rheumatica and treatment was started on prednisolone and celecoxib. Her symptoms improved dramatically and the inflammatory markers normalized.
