12 June 2023>: Articles
A Case of Confounding Back Pain
Unusual clinical course, Challenging differential diagnosis
Cedric A. Green D , Lydia Mbatidde E , Jehan R. Shah E , Mantavya Punj E , Ramla N. Kasozi A* , Jennifer R. Maynard EDOI: 10.12659/AJCR.939784
Am J Case Rep 2023; 24:e939784
Figure 1. Progression of T7-T8 osteomyelitis/discitis on T2-series magnetic resonance imaging (MRI), sagittal sections. (A) Initial MRI showing T7-T8 osteomyelitis and discitis with paraspinal soft tissue involvement (arrow). (B) MRI of T7-T8 after readmission with worsening back pain showing progressive discitis/osteomyelitis, phlegmonous changes, and a small, left-sided paraspinal abscess (arrow). (C) MRI after completion of the second round of intravenous antibiotics showing improvement of the T7-T8 discitis/osteomyelitis and decreased soft tissue inflammation (arrow), which was coupled with clinical improvement.