Discitis/osteomyelitis (radiograph)

Case contributed by Dr Dai Roberts


Insidious onset of lumbar back pain. Pyrexial.

Patient Data

Age: 75 years
Gender: Male

Intervertebral disc height loss with large endplate erosions at L2/3.  Multiple level disc height loss at other levels with preservation of the endplates. Lower lumbar spine facet joint arthropathy. 

Case Discussion

Discitis/osteomyelitis can be initially occult on radiographs, requiring MRI to make and/or confirm the diagnosis.  MRI was subsequently performed in this case which confirmed the diagnosis.  MRI should also assess for epidural abscess.  

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Case information

rID: 80547
Published: 27th Jul 2020
Last edited: 27th Jul 2020
System: Spine
Inclusion in quiz mode: Included

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