Discitis osteomyelitis (cervical spine)
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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.
This patient had a known history of recent intravenous drug use. He underwent a biopsy with the following microbiology.
- Leucocytes ++
- Gram positive cocci +
- Staphylococcus aureus +++