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Chronic Osteomyelitis of the Lumbar Transverse Process

Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magneti...

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Autores principales: Lee, Bong-Jin, Kim, Seong-Tae, Yoon, Min Geun, Kim, Sung-Soo, Moon, Myung-Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162208/
https://www.ncbi.nlm.nih.gov/pubmed/21909475
http://dx.doi.org/10.4055/cios.2011.3.3.254
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author Lee, Bong-Jin
Kim, Seong-Tae
Yoon, Min Geun
Kim, Sung-Soo
Moon, Myung-Sang
author_facet Lee, Bong-Jin
Kim, Seong-Tae
Yoon, Min Geun
Kim, Sung-Soo
Moon, Myung-Sang
author_sort Lee, Bong-Jin
collection PubMed
description Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain.
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spelling pubmed-31622082011-09-10 Chronic Osteomyelitis of the Lumbar Transverse Process Lee, Bong-Jin Kim, Seong-Tae Yoon, Min Geun Kim, Sung-Soo Moon, Myung-Sang Clin Orthop Surg Case Report Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain. The Korean Orthopaedic Association 2011-09 2011-08-19 /pmc/articles/PMC3162208/ /pubmed/21909475 http://dx.doi.org/10.4055/cios.2011.3.3.254 Text en Copyright © 2011 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Bong-Jin
Kim, Seong-Tae
Yoon, Min Geun
Kim, Sung-Soo
Moon, Myung-Sang
Chronic Osteomyelitis of the Lumbar Transverse Process
title Chronic Osteomyelitis of the Lumbar Transverse Process
title_full Chronic Osteomyelitis of the Lumbar Transverse Process
title_fullStr Chronic Osteomyelitis of the Lumbar Transverse Process
title_full_unstemmed Chronic Osteomyelitis of the Lumbar Transverse Process
title_short Chronic Osteomyelitis of the Lumbar Transverse Process
title_sort chronic osteomyelitis of the lumbar transverse process
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162208/
https://www.ncbi.nlm.nih.gov/pubmed/21909475
http://dx.doi.org/10.4055/cios.2011.3.3.254
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