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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 E

DOI: 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.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923