Pyogenic infectious spondylitis in a patient with diabetes: case report.
A case of pyogenic infectious spondylitis associated with diabetes was reported. The patient experienced focal back pain 2 weeks after amputation of her left foot due to diabetic gangrene. Magnetic resonance imaging of the lumbar spine revealed decreased T1-weighted signals of Th11 and Th12 vertebral bodies and prevertebral masses, and these lesions were also detected as high signal intensities in T2-weighted magnetic resonance imaging. The images were consistent with a diagnosis of pyogenic infectious spondylitis and the patient responded to treatment with broad-spectrum antibiotics. Percutaneous drainage of the abscesses was also needed. Early magnetic resonance imaging examination was particularly helpful in the accurate diagnosis and treatment of this rare disorder.
Yamagishi
S
S
Department of Biochemistry, Kanazawa University School of Medicine, Japan.
Yokoyama-Ohta
M
M
D000671:Amputation, Surgical / Q000009:adverse effects; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000601:surgery; D005260:Female; D005528:Foot / Q000601:surgery; D005734:Gangrene / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D013166:Spondylitis / Q000175:diagnosis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014055:Tomography, Emission-Computed