Cervical Spondylodiscitis, Osteomyelitis, and Epidural Abscess Mimicking a Vertebral Fracture
- 作者：Jill L. Hanck ; MD鈦?/sup> ; Antonio E. Muñ ; iz ; MD ; FACEP ; FAAP ; FAAEM&dagger ; ;
- 关键词：spondylodiscitis ; epidural Abscess ; osteomyelitis ; endocarditis
- 刊名：Journal of Emergency Medicine
- 出版年：2012
- 期刊代码：156_07364679
- 类别：med
- 出版时间：March, 2012
- 卷：42
- 期：3
- 页码：e43-e46
- 文件大小：367 K
摘要
Background: Spinal vertebral fractures are common in elderly patients, especially after a significant fall. Neck tenderness or neurologic deficits after a fall should increase the suspicion of cervical spinal fracture. Case Report: A 75-year-old woman complained of 2 weeks of gradually increasing neck and right shoulder pain after a fall. She had an X-ray study that appeared to show an unstable C6-C7 fracture. A computed tomography scan of the neck revealed no fracture and was consistent with spondylodiscitis and osteomyelitis of C6 and C7, with an adjacent epidural abscess and mild cord compression. Conclusion: It is important to consider this diagnosis in patients with a history of infective endocarditis who develop back pain, to minimize morbidity associated with this disorder.