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Discitis osteomyelitis (cervical spine)

Case contributed by Assoc Prof Frank Gaillard

Presentation

Neck pain.

Patient Data

Age: 40 years
Gender: Male

The C6/7 disc space is fluid filled and the anterior and posterior annulus deficient. Extensive epidural phlegmon compresses the cord with resultant high T2 signal. A collection is seen anterior to the spine, but only tiny pockets of fluid are seen in the epidural space. 

Case Discussion

This patient had a known history of recent intravenous drug use. He underwent a biopsy with the following microbiology. 

Microbiology

GRAM STAIN

  1. Leukocytes ++
  2. Gram positive cocci +

CULTURE

  1. Staphylococcus aureus +++​

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