Discitis osteomyelitis with epidural phlegmon

Case contributed by Frank Gaillard
Diagnosis certain


Back pain.

Patient Data

Age: Adult

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Prominent T5/6 vertebral body edema with involvement of the disc space and surrounding extensive phlegmon. No abscess as such can be identified within the epidural space. The cord is compressed. 

Destruction of the bony endplates with associated left rib erosion and soft tissue density material surrounding the region. Bilateral small pleural effusions. 

Case Discussion

Discitis/osteomyelitis with cord compression and empyema. Staph. aureus isolated.

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