title: [My Back is Still Hurting!].
abstract: We present the case of a 39-year-old man who reported to the primary care physician for low back pain. Pain persisted despite extensive assessment and therapy. During the course, bilateral femoral neck fractures occurred and due to multiple enrichments in scintigraphy chronic multifocal (sterile) osteomyelitis was suspected. In the further follow-up the appropriate diagnosis of osteomalacia was established in bone biopsy and adequate treatment with Vitamin D was initiated. During therapy, the patient was free of pain or discomfort.
authors.affiliation: 1 Gesundheitszentrum St. Gallen.
authors.forename: Beat
authors.initials: B
authors.lastname: Knechtle
authors.forename: Kristian
authors.initials: K
authors.lastname: Jäckel
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann
authors.forename: Christoph A
authors.initials: CA
authors.lastname: Rüst
authors.forename: Christian
authors.initials: C
authors.lastname: Öhlschlegel
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000328:Adult; D001706:Biopsy; D001842:Bone and Bones / Q000473:pathology; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005058:Eunuchism / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006801:Humans; D017116:Low Back Pain / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D008297:Male; D010018:Osteomalacia / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D010024:Osteoporosis / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D026741:Physical Therapy Modalities; D017211:Treatment Failure
chemical_list: D000082:Acetaminophen
keywords: Knochenbiopsie; Osteomalazie; Vitamin D; bone biopsy; osteomalacia