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.
Department of Biochemistry, Kanazawa University School of Medicine, Japan.
S
S
Yamagishi
M
M
Yokoyama-Ohta
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