[Persistent backache in a 62 year-old male: mechanical pain?].
The case is presented of a 62 year old man with a history of pulmonary tuberculosis, repeatedly consulting his primary care physician for treatment of analgesic / anti-inflammatory resistant back pain, and usually coincided with physical activity. It was initially diagnosed as mechanical pain, but in the absence of response to rest and treatment a magnetic resonance of the spine was requested, which reported bone metastases. The patient was then referred to Internal Medicine for further tests in hospital. The histopathology ruled out the presence of neoplastic cells, and imaging tests showed radiographic abnormalities in vertebral bodies (osteomyelitis-discitis) associated with epidural abscess, compatible with Pott's disease, a kind of tuberculous arthritis of the intervertebral joints.
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España.
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Cardenal González
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España.
F M
FM
Lafuente Salanova
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España.
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Lozano Espinosa
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España.
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JL
Barbosa Orellana
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España.
F
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Martínez Monje
Medicina de Familia y Comunitaria, Centro de Salud Docente de San Andrés, Murcia, España. Electronic address: arboleja@yahoo.es.
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Leal Hernández
D001416:Back Pain / Q000209:etiology*; D015299:Discitis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology*; D014399:Tuberculosis, Spinal / Q000175:diagnosis* / Q000503:physiopathology
Absceso; Abscess; Back; Dolor; Espalda; Pain; Pott; Pott's disease; Tuberculosis