Spondylodiscitis

Case contributed by Dr Laughlin Dawes

Presentation

Back pain centred on L2.

Patient Data

Age: 30
Gender: Male
Modality: X-ray

The lumbar spine films shows

  • loss of height of L1/L2 joint space
  • endplate sclerosis
  • indistinct endplates

These early changes may progress to destruction and fusion.

Case Discussion

This patient had a history IV drug abuse. IV drug abusers are a classical group for discitis as blood-borne bacteria enter the vertebra and cross via small vessels into the disc.

Credit: Dr Ian Bickle. 

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Case Information

rID: 36053
Case created: 24th Apr 2015
Last edited: 24th Apr 2017
Tag: rapids
Inclusion in quiz mode: Included

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